| NPI | 1972058261 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA LYNN LEW Chiropractor/Owner 715-231-2233 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: WI 4638-12) |
| Enumeration Date | 2016-08-17 |
| Last Update Date | 2016-08-30 |