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Organization
BLANCHARDVILLE CHIROPRACTIC CLINIC, SC
Active
Organization
BLANCHARDVILLE CHIROPRACTIC CLINIC, SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GINA R SCHULTZ D.C., DABCI (PRESIDENT)
(608) 523-4612
Entity
Organization
Contact information
Practice address
320 S. MAIN ST., BLANCHARDVILLE, WI 53516-0056
(608) 523-4612
(608) 523-4614
Mailing address
P.O. BOX 56, 320 S. MAIN ST., BLANCHARDVILLE, WI 53516-0056
(608) 523-4612
(608) 523-4614
Taxonomy
Speciality
Code
Description
License number
State
111NI0900X
Internist Chiropractor
Primary
3562-012
WI
Other
Enumeration date
03/22/2007
Last updated
11/14/2007
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