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Pediatric, Prenatal And Family Chiropractic Of Wisconsin LLC

Chiropractor in Mount Pleasant, WI. Organization (NPI-2).

NPI number1164094975
StatusActive
Last updated in NPPESJun 6, 2023

Details

NPI
1164094975
Entity type
Organization (NPI-2)
Legal business name
Pediatric, Prenatal And Family Chiropractic Of Wisconsin LLC
Organization subpart
No
Enumeration date
Jul 12, 2021
Certification date
Jun 6, 2023
Last updated
Jun 6, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
111N00000X Chiropractor––Yes

Practice location

1524 S Green Bay Rd Ste 101
Mount Pleasant, WI 53406-5788

Phone 262-800-1115

Mailing address

1524 S Green Bay Rd Ste 101
Mount Pleasant, WI 53406-5788

Authorized official

Holly Georgeson
Owner
2628001115

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