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Organization
LITANG CHIROPRACTIC SC
Active
Organization
LITANG CHIROPRACTIC SC
Active
Other names
Litang Family Chiropractic SC
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SANDRA CARMEN CANON D.C. (OWNER PRESIDENT)
(608) 655-4164
Entity
Organization
Contact information
Practice address
131 E MAIN ST, MARSHALL, WI 53559-9377
(608) 655-4164
Mailing address
131 E MAIN ST, MARSHALL, WI 53559-9377
(608) 655-4164
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3185
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38996300
—
WI
Enumeration date
03/06/2007
Last updated
08/22/2020
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