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Organization
PREMIER SPINE - BOSCOBEL LLC
Active
Organization
PREMIER SPINE - BOSCOBEL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW JONES (MEMBER)
(608) 375-2411
Entity
Organization
Contact information
Practice address
109 W OAK ST, BOSCOBEL, WI 53805-1519
(608) 375-2411
Mailing address
109 W OAK ST, BOSCOBEL, WI 53805-1519
(608) 375-2411
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
08/02/2023
Last updated
08/02/2023
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