NPI | 1376748657 |
---|---|
Former Legal Business Name | SHEBOYGAN HEALING ARTS SC |
Entity Type | Organization |
Authorized Contact | MICHAEL A SAATKAMP Owner 920-459-8475 |
Organization Subpart ? | No |
Primary Taxonomy | 305S00000X Point of Service (Licence: WI 1972012) |
Enumeration Date | 2007-06-18 |
Last Update Date | 2010-05-10 |