| NPI | 1720268808 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK W. KREBSBACH Doctor Of Chiropractic 920-497-8378 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: WI 3966-012) |
| Enumeration Date | 2007-11-06 |
| Last Update Date | 2007-11-06 |