| NPI | 1407946254 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY GENE BUNTROCK Owner/Doctor 262-248-8177 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: WI 2834-012) |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2025-07-16 |