| NPI | 1881774735 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW ROBERT NELSON President 715-386-9393 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: WI 3008 and 3108) |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2020-08-22 |