Organization
TOMAH CHIROPRACTIC CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LINDSEY SHAW (OWNER/CHIROPRACTOR)
(608) 372-3348
Entity
Organization
Contact information
Practice address
500 N SUPERIOR AVE, TOMAH, WI 54660-1114
(608) 372-3348
Mailing address
PO BOX 937, 500 N. SUPERIOR AVE., TOMAH, WI 54660-0937
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4478-12
WI
Other
Enumeration date
06/15/2011
Last updated
06/23/2011
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