| NPI | 1780958637 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN J PURSEL Managing Member/Owner 920-434-7393 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: WI 3102) |
| Enumeration Date | 2012-02-23 |
| Last Update Date | 2012-02-23 |