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 |