Jacob William Kornetzke, D.C., M.S. Valid NPI

Individual provider · Nutrition Chiropractor · Slinger, WI

NPI

1386170793

Type

Individual (Type 1)

Primary specialty

Nutrition Chiropractor (Chiropractor)

Specialty group

Chiropractic Providers

Taxonomy code

111NN1001X

License number

5279-12 (WI)

Sex

Male

Sole proprietor

No

Enumerated

2017-05-04

Last updated

2017-05-04