Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | 4330-12 | WI |
N | 111NN1001X | Nutrition | 4330-12 | WI |
NPI | 1518205384 |
---|---|
Provider Name | Cari Saloch |
First Address | Grafton, WI 53024-9512 |
Second Address | Grafton, WI 53024-9512 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 29/01/2013 |
Last Update Date | 29/01/2013 |