| NPI | 1497989073 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RYAN M HETZEL President/Chiropractor 262-547-7441 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: WI 4272-012) |
| Enumeration Date | 2009-05-11 |
| Last Update Date | 2009-05-27 |