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Organization
STREBLOW CHIROPRACTIC OFFICE LLC
Active
Organization
STREBLOW CHIROPRACTIC OFFICE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JONATHON MICHAEL STREBLOW DC (OWNER SOLE MEMBER)
(920) 775-9666
Entity
Organization
Contact information
Practice address
715 CHRISTEL DR, VALDERS, WI 54245-0055
(920) 775-9666
(920) 775-9791
Mailing address
PO BOX 55, 715 CHRISTEL DR, VALDERS, WI 54245-0055
(920) 775-9666
(920) 775-9791
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3440-012
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38944800
—
WI
Enumeration date
01/04/2007
Last updated
08/22/2020
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