| NPI | 1720120868 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH PETER HEFFERNAN President 262-549-4555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: WI 1326-012) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: WI 3874-012) |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2015-08-26 |