| NPI | 1407919525 |
|---|---|
| Other Name | WISCONSIN SPINAL CORRECTION CENTER LLC |
| Entity Type | Organization |
| Authorized Contact | MATTHEW CLOVER President 920-722-7947 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: WI 4089-012) |
| Enumeration Date | 2006-12-19 |
| Last Update Date | 2013-03-26 |