Organization
RED CEDAR CHIROPRACTIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CLINT POWELL MOSES DC (OWNER)
(715) 231-4994
Entity
Organization
Contact information
Practice address
2321 HWY 25 N., #6, MENOMONIE, WI 54751
(715) 231-4994
(715) 231-2099
Mailing address
2321 HWY 25 N., #6, MENOMONIE, WI 54751
(715) 231-4994
(715) 231-2099
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
3925-012
WI
111N00000X
Chiropractor
Primary
3995-012
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38732500
—
WI
05
—
PENDING
—
WI
Enumeration date
01/16/2007
Last updated
07/14/2008
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