| NPI | 1861779977 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN T DOVORANY Owner 920-437-3370 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NR0400X Chiropractor Rehabilitation (Licence: WI 3416) |
| Enumeration Date | 2011-11-03 |
| Last Update Date | 2011-11-03 |