| NPI | 1578694253 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUKE ERIC STAUDENMAIER President 920-743-7255 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: WI 3209-012) |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2011-08-31 |