| NPI | 1790895217 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRADLEY P DONNERMEYER Owner 920-734-2400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: WI 2798) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: WI 3834012) |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2022-05-05 |