| NPI | 1780748608 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRAIG S WINK Owner 920-921-4130 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: WI 1628012) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: WI 3126012) |
| Enumeration Date | 2006-12-22 |
| Last Update Date | 2020-08-22 |