| NPI | 1548448400 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK M. GRAMBLICKA Chiropractic Physician 414-235-4854 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center Health Service (Licence: WI 4333-012) |
| Enumeration Date | 2008-02-03 |
| Last Update Date | 2008-04-25 |