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Organization
RENEWED LIFE CHIROPRACTIC, S.C
Active
Organization
RENEWED LIFE CHIROPRACTIC, S.C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HEATHER RENEE OLSON DC (OWNER/DC)
(608) 233-7750
Entity
Organization
Contact information
Practice address
720 HILL ST, SUITE 200, MADISON, WI 53705-3539
(608) 233-7750
Mailing address
720 HILL ST, SUITE 200, MADISON, WI 53705-3539
(608) 233-7750
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
621310
—
WI
Enumeration date
08/19/2009
Last updated
09/23/2009
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