| NPI | 1982952552 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS SOLECKI Owner 262-818-3795 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 111NR0400X |
| 111NS0005X Chiropractor, Sports Physician | |
| Enumeration Date | 2012-08-29 |
| Last Update Date | 2012-08-29 |