Organization
ACTIVE LIFESTYLE CHIROPRACTIC,SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID MICHAEL GRUSZKA D.C. (DOCTOR)
(920) 787-0122
Entity
Organization
Contact information
Practice address
140 N. TOWNLINE RD., WAUTOMA, WI 54982-0246
(920) 787-0122
(920) 787-0091
Mailing address
PO BOX 246, WAUTOMA, WI 54982-0246
(920) 787-0122
(920) 787-0091
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3391
WI
Other
Enumeration date
10/31/2006
Last updated
08/22/2020
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