| NPI | 1487841615 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SEAN C DUFFY Employee 920-733-9330 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 251K00000X Public Health or Welfare (Licence: WI 3260) |
| Enumeration Date | 2007-10-02 |
| Last Update Date | 2025-07-09 |