| NPI | 1831363431 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENNIS KING Owner 920-434-2221 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NX0800X Chiropractor Orthopedic (Licence: WI 2312) |
| Additional Taxonomies | 111NP0017X Chiropractor Pediatric Chiropractor (Licence: WI 3015) |
| 111NR0400X Chiropractor Rehabilitation (Licence: WI 4133) | |
| Enumeration Date | 2008-04-15 |
| Last Update Date | 2012-12-21 |