| NPI | 1548407174 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY SCOTT MCCULLOCH Chiropractor 715-231-2533 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: WI 3190-012) |
| Enumeration Date | 2009-01-20 |
| Last Update Date | 2009-01-20 |