| NPI | 1811431539 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHLEEN D. HANSEN Doctor 262-949-6407 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NX0800X Chiropractor, Orthopedic (Licence: WI 5190-12) |
| Enumeration Date | 2016-12-14 |
| Last Update Date | 2016-12-14 |