Active Lifestyle Chiropractic,sc

NPI #1194801191 in Wautoma, Wisconsin

Provider Information

NPI Number: 1194801191
Entity Type: Organization
Organization Name: Active Lifestyle Chiropractic,sc
Primary Specialty: Chiropractor
Enumeration Date: Oct 31, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 140 N. TOWNLINE RD.
City: Wautoma
State: Wisconsin
ZIP Code: 54982-0246
Phone: (920) 787-0122

Authorized Official

Name: DR. DAVID MICHAEL GRUSZKA, D.C.
Title: DOCTOR
Phone: (920) 787-0122

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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