Organization
REVIVE CHIROPRACTIC WELLNESS CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULIE MILLER D.C. (CHIROPRACTOR)
(608) 519-2519
Entity
Organization
Contact information
Practice address
1438 MAIN ST, ONALASKA, WI 54650
(608) 519-2519
(608) 519-2520
Mailing address
1438 MAIN ST, ONALASKA, WI 54650
(608) 519-2519
(608) 519-2520
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4488-012
WI
Other
Enumeration date
10/23/2009
Last updated
10/28/2009
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