| NPI | 1932190311 |
|---|---|
| Doing Business As | BEAVER DAM CHIROPRCTIC CLINIC |
| Entity Type | Organization |
| Authorized Contact | JACOB CARL LENTSCHER Doctor Owner 920-887-7156 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: WI 1524) |
| Enumeration Date | 2005-11-03 |
| Last Update Date | 2016-04-07 |