| NPI | 1780905133 |
|---|---|
| Former Legal Business Name | DAVIDSON FAMILY CHIROPRACTIC |
| Entity Type | Organization |
| Authorized Contact | JASON W DAVIDSON Co Owner 262-754-6850 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: WI 4466-012) |
| Enumeration Date | 2010-06-21 |
| Last Update Date | 2010-06-21 |