| NPI | 1518298199 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CASEY CHRISTOPHER BRENNAN GOESSL Owner/President 715-247-4009 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: WI 4271-012) |
| Enumeration Date | 2010-01-21 |
| Last Update Date | 2010-01-21 |