| NPI | 1720009806 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK CHRISTOPHER NEMETZ Clinic Director 262-782-2273 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: WI 3397-012) |
| Enumeration Date | 2006-07-22 |
| Last Update Date | 2010-01-21 |