Organization
T.J. KALIES
Active
Other names
Kalies Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFFERY S WIERICHS DC (CHIROPRACTOR)
(920) 756-3344
Entity
Organization
Contact information
Practice address
114 N MAIN STREET, BRILLION, WI 54110
(920) 756-3344
(920) 756-3344
Mailing address
114 N MAIN STREET, BRILLION, WI 54110
(920) 756-3344
(920) 756-3344
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2668
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
388628200007
BLUE CROSS BLUE SHIELD
WI
Enumeration date
01/18/2007
Last updated
07/21/2008
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