| NPI | 1447758354 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID DONALD JOSEPH AUGUSTINE Owner/Chiropractor 920-277-8940 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: WI 5293-12) |
| Enumeration Date | 2018-01-25 |
| Last Update Date | 2018-01-25 |