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Organization
WOLF RIVER CHIROPRACTIC LLC
Active
Organization
WOLF RIVER CHIROPRACTIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOLENE MARIE GARVEY PINTAR DC (OWNER)
(920) 240-4441
Entity
Organization
Contact information
Practice address
N5644 STATE HIGHWAY 76, SHIOCTON, WI 54170-8612
(920) 240-4441
(920) 240-4442
Mailing address
N5644 STATE HIGHWAY 76, SHIOCTON, WI 54170-8612
(920) 240-4441
(920) 240-4442
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4305-012
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1598983611
INDIVIDUAL NPI
WI
05
—
38976900
—
WI
01
—
4305
STATE LICENSE
WI
Enumeration date
11/17/2015
Last updated
12/02/2024
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