| NPI | 1760558191 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES GEORGE MOELLENDORF President 920-743-2126 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: WI 1869-012) |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2011-02-25 |