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Organization
ADVANCED SPINE CENTER, S.C.
Active
Organization
ADVANCED SPINE CENTER, S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOLLY HAUSMANN D.C. (OWNER/CHIROPRACTOR)
(262) 512-1661
Entity
Organization
Contact information
Practice address
11203 N BUNTROCK AVE, 100, MEQUON, WI 53092-1857
(262) 512-1661
(262) 512-1663
Mailing address
11203 N BUNTROCK AVE, 100, MEQUON, WI 53092-1857
(262) 512-1661
(262) 512-1663
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4239-012
WI
Other
Enumeration date
12/22/2016
Last updated
12/22/2016
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