| NPI | 1679074579 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANDALL L BLOHOWIAK Secretary And Treasurer 920-574-3622 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: WI 2757-12) |
| Enumeration Date | 2018-02-26 |
| Last Update Date | 2018-02-26 |