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Elk Mound Chiropractic LLC

Chiropractor in Elk Mound, WI. Organization (NPI-2).

NPI number1528290798
StatusActive
Last updated in NPPESAug 20, 2009

Details

NPI
1528290798
Entity type
Organization (NPI-2)
Legal business name
Elk Mound Chiropractic LLC
Organization subpart
No
Enumeration date
Aug 20, 2009
Last updated
Aug 20, 2009

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
111N00000X Chiropractor4513-012WIYes

Practice location

205 W Menomonie St
Elk Mound, WI 54739-9520

Phone 715-879-4480 · Fax 715-879-4490

Mailing address

205 W Menomonie St
Elk Mound, WI 54739-9520

Phone 715-879-4480 · Fax 715-879-4490

Authorized official

Edward Paul Rygiel
Provider/Owner
7158794480

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