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Organization
NEVIN CHIROPRACTIC SC
Active
Organization
NEVIN CHIROPRACTIC SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KATHERINE M GRAVESEN DC (OWNER/ PRESIDENT)
(715) 262-8555
Entity
Organization
Contact information
Practice address
1380 N ACRES RD STE A, PRESCOTT, WI 54021-7039
(715) 262-8555
(715) 262-8744
Mailing address
1380 N ACRES RD STE A, PRESCOTT, WI 54021-7039
(715) 262-8555
(715) 262-8744
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3723-12
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38929300
—
WI
05
—
451211100
—
MN
Enumeration date
12/04/2007
Last updated
10/15/2010
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