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Organization
GALESVILLE CHIROPRACTIC LLC
Active
Organization
GALESVILLE CHIROPRACTIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH JOHN ANTONIE D.C. (OWNER)
(608) 526-6047
Entity
Organization
Contact information
Practice address
16812 S 2ND ST, SUITE 120, GALESVILLE, WI 54630-7320
(608) 582-4612
(608) 582-2645
Mailing address
16812 S 2ND ST, GALESVILLE, WI 54630-7320
(608) 526-6047
(608) 582-2645
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3388
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38902100
—
WI
Enumeration date
11/17/2014
Last updated
04/03/2015
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