| NPI | 1568644060 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT J WAGENKNECHT Chiropractor 414-423-9225 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: WI 3592-012) |
| Enumeration Date | 2007-11-27 |
| Last Update Date | 2007-11-27 |