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Organization
NORTHERN ROOTS FAMILY SPINAL CARE, LLC
Active
Organization
NORTHERN ROOTS FAMILY SPINAL CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHASE BRENDAN O'KEEFE DC (CHIEF MANAGER)
(715) 563-7447
Entity
Organization
Contact information
Practice address
470 3RD AVE, CLEAR LAKE, WI 54005
(715) 303-7121
Mailing address
2389 US HIGHWAY 63, CLEAR LAKE, WI 54005-7702
(715) 563-7447
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
08/12/2019
Last updated
08/12/2019
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