| NPI | 1760670012 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER KROHN-SHUPE Doctor Of Chiropractic 715-381-9965 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: WI 110466) |
| Enumeration Date | 2007-10-11 |
| Last Update Date | 2012-05-14 |