Organization
WAUPACA CHIROPRACTIC CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIRIAM LEEAN-RODENZ DC (PRESIDENT)
(715) 258-8211
Entity
Organization
Contact information
Practice address
304 S WESTERN AVE, WAUPACA, WI 54981-5703
(715) 258-8211
Mailing address
304 S WESTERN AVE, WAUPACA, WI 54981-5703
(715) 258-8211
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3651
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38934000
—
WI
Enumeration date
11/27/2006
Last updated
08/22/2020
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