| NPI | 1679785729 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEAN COLOMBE Office Manager 715-341-8222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NS0005X Chiropractor, Sports Physician (Licence: WI 1388) |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2020-05-21 |