Organization
BLUE HILLS CHIROPRACTIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAURYN BRUNCLIK D.C. (OWNER)
(715) 822-2500
Entity
Organization
Contact information
Practice address
1320 2ND AVENUE, CUMBERLAND, WI 54829
(715) 822-2500
(715) 822-3388
Mailing address
PO BOX 253, CUMBERLAND, WI 54829-0253
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4679-12
WI
Other
Enumeration date
12/15/2010
Last updated
01/31/2011
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