NPI | 1750328605 |
---|---|
Entity Type | Organization |
Authorized Contact | TRACY LYNN BRETL President 414-351-1844 |
Organization Subpart ? | No |
Primary Taxonomy | 204D00000X Neuromusculoskeletal Medicine & OMM (Licence: WI 31707) |
Enumeration Date | 2006-06-01 |
Last Update Date | 2011-08-30 |