# PROGRESSIVE CHIROPRACTIC, S.C.

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

## Provider details

- **NPI number:** 1841479094
- **Authorized official:** DR. VICTORIA LYN BOWE-FISHER D.C. (CHIROPRACTOR)
- **Authorized official phone:** (262) 251-0340

## Contact information

- **Practice address:** N112W15800 MEQUON RD, GERMANTOWN, WI 53022-3389
- **Practice address phone:** (262) 251-0340
- **Practice address fax:** (262) 437-1337
- **Mailing address:** N112W15800 MEQUON RD, GERMANTOWN, WI 53022-3389
- **Mailing address phone:** (262) 251-0340
- **Mailing address fax:** (262) 437-1337

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | 2428 | WI | Yes |

## Other

- **Enumeration date:** 10/24/2007
- **Last updated:** 10/24/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2428 | STATE LICENSE | WI |
