| NPI | 1467655563 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK P EMMERICH Chiropractor 608-833-2333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: WI 3167-012) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: WI 1642012) |
| Enumeration Date | 2007-06-06 |
| Last Update Date | 2019-06-03 |