NPI | 1659709376 |
---|---|
Entity Type | Organization |
Authorized Contact | CONNON LEE PIENCIKOWSKI Chiropractor 920-591-0141 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: WI 4214-012) |
Enumeration Date | 2013-10-15 |
Last Update Date | 2020-05-28 |