Organization
GROTH CHIROPRACTIC CLINC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN P GROTH DC (OWNER)
(608) 786-3670
Entity
Organization
Contact information
Practice address
1540 HERITAGE BLVD, SUITE 203, WEST SALEM, WI 54669-1417
(608) 786-3670
(608) 786-3672
Mailing address
1540 HERITAGE BLVD, SUITE 203, WEST SALEM, WI 54669-1417
(608) 786-3670
(608) 786-3672
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
410912
WI
Other
Enumeration date
12/11/2015
Last updated
12/11/2015
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