| NPI | 1508998188 |
|---|---|
| Doing Business As | WISCONSIN SPINE CENTER |
| Entity Type | Organization |
| Authorized Contact | BRADLEY D WILDBERG Owner, President 612-910-6600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: WI 1600) |
| Enumeration Date | 2007-03-10 |
| Last Update Date | 2020-08-22 |