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Organization
COUNTRYVIEW CHIROPRACTIC CLINIC, S.C.
Active
Organization
COUNTRYVIEW CHIROPRACTIC CLINIC, S.C.
Active
Other names
Schuelke Chiropractic Clinic, S.C.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD WARREN PENSIS D.C. (PRESIDENT)
(715) 526-6158
Entity
Organization
Contact information
Practice address
W5675 CTY HWY B, SHAWANO, WI 54166-0060
(715) 526-6158
(715) 526-6178
Mailing address
PO BOX 60, SHAWANO, WI 54166-0060
(715) 526-6158
(715) 526-6178
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38982000
—
WI
Enumeration date
01/08/2007
Last updated
04/22/2013
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