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Organization
PETERSON CHIROPRACTIC FAMILY WELLNESS CENTRE, S.C.
Active
Organization
PETERSON CHIROPRACTIC FAMILY WELLNESS CENTRE, S.C.
Active
Other names
Peterson Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
LOYAL S. PETERSON D.C., D.A.B.C. O. (OWNER)
(920) 834-2888
Entity
Organization
Contact information
Practice address
344 MCDONALD ST, OCONTO, WI 54153-1152
(920) 834-2888
(920) 834-4011
Mailing address
344 MCDONALD ST, OCONTO, WI 54153-1152
(920) 834-2888
(920) 834-4011
Taxonomy
Speciality
Code
Description
License number
State
111NX0800X
Orthopedic Chiropractor
Primary
1530
WI
Other
Enumeration date
11/30/2007
Last updated
07/03/2008
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