| NPI | 1649411703 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY WILLIAM GROSSKOFP Owner/Chiropractor 414-426-9677 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: WI 4451-012) |
| Enumeration Date | 2009-03-18 |
| Last Update Date | 2009-03-18 |