Organization
ANDERSON CHIROPRACTIC OFFICE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIMOTHY WALLACE ANDERSON D.C. (OWNER)
(920) 926-1722
Entity
Organization
Contact information
Practice address
885 WESTERN AVE, SUITE #450, FOND DU LAC, WI 54935-3874
(920) 926-1722
Mailing address
885 WESTERN AVE, SUITE #450, FOND DU LAC, WI 54935-3874
(920) 926-1722
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1718-12
WI
Other
Enumeration date
11/21/2006
Last updated
08/22/2020
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