# DEFINED SPINE CHIROPRACTIC & WELLNESS, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1518298199
- **Authorized official:** DR. CASEY CHRISTOPHER BRENNAN GOESSL D.C. (OWNER/PRESIDENT)
- **Authorized official phone:** (715) 247-4009

## Contact information

- **Practice address:** 407 LASER DR, SOMERSET, WI 54025-7430
- **Practice address phone:** (715) 247-4009
- **Practice address fax:** (715) 247-3366
- **Mailing address:** 407 LASER DR, SOMERSET, WI 54025-7430
- **Mailing address phone:** (715) 247-4009
- **Mailing address fax:** (715) 247-3366

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | 4271-012 | WI | Yes |

## Other

- **Enumeration date:** 01/21/2010
- **Last updated:** 01/21/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 38972500 | — | WI |