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 |