| NPI | 1386677409 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW WAYNE TREUTELAAR Buissness Owner 262-650-0701 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: WI 4001-012) |
| Enumeration Date | 2006-07-09 |
| Last Update Date | 2020-08-22 |