| NPI | 1861866816 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL P SIPPLE Proprietor 715-214-9883 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine |
| Enumeration Date | 2015-11-13 |
| Last Update Date | 2023-03-30 |