Organization
EAGLE FAMILY CHIROPRACTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK JAMES BUGNI DC (CHIROPRACTOR)
(715) 479-4214
Entity
Organization
Contact information
Practice address
701 N RAILROAD ST, EAGLE RIVER, WI 54521-8833
(715) 479-4214
(715) 477-2770
Mailing address
701 N RAILROAD ST, EAGLE RIVER, WI 54521-8833
(715) 479-4214
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5087
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1386053452
CHIROPRACTOR
WI
Enumeration date
08/16/2017
Last updated
07/21/2022
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