| NPI | 1609868793 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIRIAM JOY LEEAN President 715-258-8211 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: WI 3651-012) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: WI 2695) |
| Enumeration Date | 2005-08-16 |
| Last Update Date | 2020-08-22 |