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Organization
SCOLIOSIS CENTER OF LA CROSSE, LLC
Active
Organization
SCOLIOSIS CENTER OF LA CROSSE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BENJAMIN JOHN BREIDENBACH DC (OWNER)
(608) 386-9328
Entity
Organization
Contact information
Practice address
1526 ROSE ST, SUITE 101, LA CROSSE, WI 54603-2245
(608) 386-9328
(608) 783-5426
Mailing address
1526 ROSE ST, SUITE 101, LA CROSSE, WI 54603-2245
(608) 386-9328
(608) 783-5426
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
367612
WI
Other
Enumeration date
07/29/2014
Last updated
07/29/2014
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