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Organization
PEDIATRIC, PRENATAL AND FAMILY CHIROPRACTIC OF WISCONSIN LLC
Active
Organization
PEDIATRIC, PRENATAL AND FAMILY CHIROPRACTIC OF WISCONSIN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HOLLY GEORGESON (OWNER)
(262) 800-1115
Entity
Organization
Contact information
Practice address
1524 S GREEN BAY RD STE 101, MOUNT PLEASANT, WI 53406-5788
(262) 800-1115
Mailing address
1524 S GREEN BAY RD STE 101, MOUNT PLEASANT, WI 53406-5788
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
07/12/2021
Last updated
06/06/2023
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