| NPI | 1447754890 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT W FUGIEL Owner/Provider 262-955-8867 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: WI 5317-12) |
| Enumeration Date | 2018-03-21 |
| Last Update Date | 2023-03-06 |