| NPI | 1821333550 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY WORTH Chiropractor Clinic Director 414-643-9000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: WI 4264-012) |
| Enumeration Date | 2012-12-06 |
| Last Update Date | 2012-12-06 |