Organization
DRIFTLESS ONE CHIROPRACTIC, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KRISTOPHER SHANE NORDRUM DC (CLINIC DIRECTOR/OWNER)
(630) 542-1659
Entity
Organization
Contact information
Practice address
120 SUNSET RIDGE AVE STE 109, GAYS MILLS, WI 54631-8331
(630) 542-1659
Mailing address
120 SUNSET RIDGE AVE STE 109, GAYS MILLS, WI 54631-8331
(630) 542-1659
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
07/14/2023
Last updated
07/14/2023
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