| NPI | 1588914667 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRIS W BOYSON Owner 920-997-8268 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: WI 2168-12) |
| Additional Taxonomies | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: WI 26410-20) |
| Enumeration Date | 2012-09-14 |
| Last Update Date | 2012-09-14 |