| NPI | 1881892636 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEROD BERGMAN President 715-362-2300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NN0400X Chiropractor, Neurology (Licence: WI 3888-012) |
| Enumeration Date | 2007-07-03 |
| Last Update Date | 2009-01-21 |