| NPI | 1679639108 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC WILLEM VAN ZON Chiropractor 608-250-2699 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305S00000X Point of Service (Licence: WI 4139012) |
| Enumeration Date | 2006-12-29 |
| Last Update Date | 2020-08-22 |