Organization
PRAIRIE HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSHUA M COUGHLIN D.C. (PRESIDENT)
(319) 939-5310
Entity
Organization
Contact information
Practice address
1502 S MARQUETTE RD, PRAIRIE DU CHIEN, WI 53821-2820
(319) 939-5310
Mailing address
1502 S MARQUETTE RD, PRAIRIE DU CHIEN, WI 53821-2820
(319) 939-5310
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4643012
WI
Other
Enumeration date
10/01/2010
Last updated
10/01/2010
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