Organization
THE CENTER FOR COMPREHENSIVE CHIROPRACTIC CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSHUA DIETZE D.C. (CHIROPRACTOR/OWNER)
(920) 848-2392
Entity
Organization
Contact information
Practice address
420 N CHESTNUT AVE, SUITE B, OCONTO FALLS, WI 54154-1109
(920) 848-2392
Mailing address
420 N CHESTNUT AVE, SUITE B, OCONTO FALLS, WI 54154-1109
(920) 848-2392
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4951-12
WI
Other
Enumeration date
07/29/2014
Last updated
02/28/2019
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