| NPI | 1962641845 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BENJAMIN RICHARD REINEKING Owner, 920-733-9999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: WI 4456-012) |
| Enumeration Date | 2009-02-17 |
| Last Update Date | 2009-02-17 |