| NPI | 1487862751 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW JON GRBICH Managing Member 262-502-0028 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: WI 3936-012) |
| Enumeration Date | 2007-05-19 |
| Last Update Date | 2020-08-22 |