| NPI | 1982941399 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW CHARLES SCHUPP Owner 906-399-1362 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NX0800X Chiropractor, Orthopedic (Licence: WI 4908-12) |
| Enumeration Date | 2013-01-07 |
| Last Update Date | 2013-01-07 |