Organization
RIVER SHORES CHIROPRACTIC SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KRYSTI K. WICK D.C. (OWNER/CHIROPRACTOR)
(262) 573-4465
Entity
Organization
Contact information
Practice address
705 VILLAGE GREEN WAY, SUITE 105, WEST BEND, WI 53090-2527
(262) 334-4070
(262) 334-4078
Mailing address
705 VILLAGE GREEN WAY, SUITE 105, WEST BEND, WI 53090-2527
(262) 334-4070
(262) 334-4078
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4353-12
WI
Other
Enumeration date
11/07/2007
Last updated
11/07/2007
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