| NPI | 1699900837 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY M GUNDERSON Owner/Chiropractor 715-598-4954 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: WI 4285-012) |
| Enumeration Date | 2009-05-18 |
| Last Update Date | 2009-05-18 |