| NPI | 1508023417 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TROY BRUESEWITZ Chiropractor 262-763-5800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305S00000X Point of Service (Licence: WI 3840-012) |
| Enumeration Date | 2008-05-19 |
| Last Update Date | 2020-05-13 |