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Organization
BURLAGE CHIROPRACTIC WELLNESS CENTER LLC
Active
Organization
BURLAGE CHIROPRACTIC WELLNESS CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS F BURLAGE DC (CHIROPRACTOR)
(608) 592-1444
Entity
Organization
Contact information
Practice address
602A CORNER ST, LODI, WI 53555-1109
(608) 592-1444
Mailing address
602A CORNER ST, LODI, WI 53555-1109
(608) 592-1444
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3522
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38930100
—
WI
Enumeration date
11/19/2006
Last updated
08/22/2020
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