| NPI | 1689813545 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BOB GOUNTIS President 414-778-1455 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NX0800X Chiropractor, Orthopedic (Licence: WI 3517-012) |
| Enumeration Date | 2009-02-16 |
| Last Update Date | 2010-09-02 |