| NPI | 1780851279 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACQUELYN MICHELE RUSSELL Chiropractic Assistant 715-568-9923 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: WI 4151-012) |
| Enumeration Date | 2008-05-13 |
| Last Update Date | 2008-06-04 |