| NPI | 1548309529 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WAYNE A. CHRISTIANSON Managing Member 715-597-6325 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: WI 2179-012) |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2020-08-22 |