| NPI | 1770522187 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAY JEFFREY ROMANT Owner/Director 414-774-2300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: WI 4100-012) |
| Enumeration Date | 2006-06-05 |
| Last Update Date | 2020-08-22 |