| NPI | 1952501520 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YVONNE A RUNKEL Office Manager 715-832-1953 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: 1708) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: 3389) |
| 111N00000X Chiropractor (Licence: 4243) | |
| 111N00000X Chiropractor (Licence: WI 2844-012) | |
| Enumeration Date | 2007-07-23 |
| Last Update Date | 2008-06-10 |