| NPI | 1477821783 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOUGLAS PETERSON President 920-233-7744 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NR0400X Chiropractor, Rehabilitation (Licence: WI 1804) |
| Enumeration Date | 2011-12-01 |
| Last Update Date | 2011-12-01 |