| NPI | 1821582065 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY GEORGE VON-SCHILLING WORTH Clinic Director 262-770-7014 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NX0100X Chiropractor Occupational Health (Licence: WI 4264-12) |
| Enumeration Date | 2018-06-20 |
| Last Update Date | 2018-06-20 |