| NPI | 1871620310 |
|---|---|
| Doing Business As | HEALTHSOURCE OF NEW BERLIN |
| Entity Type | Organization |
| Authorized Contact | MICHELLE STAFFORD Chiropractor Owner 262-785-1811 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: WI 3258) |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2017-01-27 |