| NPI | 1538686837 |
|---|---|
| Doing Business As | HEALTHSOURCE OF WEST DE PERE |
| Entity Type | Organization |
| Authorized Contact | NATHAN STEVEN CUMMINGS Chiropractor 920-309-6658 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: WI 5032-12) |
| Enumeration Date | 2017-08-28 |
| Last Update Date | 2019-01-16 |