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Organization
TRI CORNER CHIROPRACTIC LLC
Active
Organization
TRI CORNER CHIROPRACTIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER E MATT DC (CHIROPRACTOR)
(920) 739-4229
Entity
Organization
Contact information
Practice address
1307 W PACKARD STREET, APPLETON, WI 54914-3428
(920) 739-4229
Mailing address
1307 W PACKARD STREET, APPLETON, WI 54914-3428
(920) 739-4229
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2339
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38837600
—
WI
Enumeration date
01/02/2007
Last updated
06/16/2008
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