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Organization
ULREY CHIROPRACTIC OFFICE SC
Active
Organization
ULREY CHIROPRACTIC OFFICE SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SAM J RIEDL (OFFICE MANAGER)
(920) 261-0855
Entity
Organization
Contact information
Practice address
303 S 1ST ST, WATERTOWN, WI 53094-4405
(920) 261-0855
(920) 261-0940
Mailing address
303 S 1ST ST, WATERTOWN, WI 53094-4405
(920) 261-0855
(920) 261-0940
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1440
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1366441453
INDIVIDUAL NPI
WI
05
—
38760900
—
WI
Enumeration date
05/26/2006
Last updated
04/20/2008
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