| NPI | 1487316634 |
|---|---|
| Doing Business As | MODERN PHYSICAL MEDICINE |
| Entity Type | Organization |
| Authorized Contact | MAGGIE MAY KASTEN Owner 414-430-7005 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Enumeration Date | 2021-10-05 |
| Last Update Date | 2022-02-01 |