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Organization
ELITE CHIROPRACTIC BROOKINGS PROF
Active
Organization
ELITE CHIROPRACTIC BROOKINGS PROF
Active
Other names
Complete Care Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRADLEY DALE WILDBERG D.C. (PRESIDENT,OWNER)
(612) 910-6600
Entity
Organization
Contact information
Practice address
1453 6TH ST, BROOKINGS, SD 57006-1604
(605) 692-2225
(605) 697-5838
Mailing address
20456 LAKE RIDGE DR, PRIOR LAKE, MN 55372-7805
(952) 492-5914
(952) 492-5913
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1095
SD
Other
Enumeration date
12/20/2006
Last updated
08/22/2020
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