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Individual

DR. PHILLIP OPELT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
124 N MAIN ST, GREENWOOD, WI 54437-9419
(715) 937-3660
Mailing address
2040 PRESTON RD, EAU CLAIRE, WI 54703-2332
(715) 937-3660

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5696-12
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
10
WI
Enumeration date
06/17/2022
Last updated
06/17/2022
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