| NPI | 1457751778 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL LAWRENCE ZASTROW Owner 920-465-0400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NN1001X Chiropractor, Nutrition (Licence: WI 1813-12) |
| Enumeration Date | 2014-08-25 |
| Last Update Date | 2014-08-25 |