Organization
CHIROPLUS COMPLIMENTARY HEALTH CARE CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. COLLEEN POMPLUN DC (GENERAL PARTNER)
(920) 294-3130
Entity
Organization
Contact information
Practice address
505 LAKE STREET, GREEN LAKE, WI 54941
(920) 294-3130
(920) 294-3238
Mailing address
PO BOX 458, GREEN LAKE, WI 54941-0458
(920) 294-3130
(920) 294-3238
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38873800
—
WI
Enumeration date
12/22/2006
Last updated
05/24/2011
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