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Organization
WISCONSIN SPINAL REHABILITATION CENTER S.C.
Active
Organization
WISCONSIN SPINAL REHABILITATION CENTER S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PETER GORDON FRIEDRICHS DC (CHIROPRACTOR)
(262) 642-4100
Entity
Organization
Contact information
Practice address
3224 W MAIN ST STE E, EAST TROY, WI 53120-1152
(262) 642-4100
(262) 642-4101
Mailing address
3224 W MAIN ST STE E, PO BOX 984, EAST TROY, WI 53120-1152
(262) 642-4100
(262) 642-4101
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3170
WI
Other
Enumeration date
12/09/2011
Last updated
12/09/2011
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