Organization
YELLOW WOOD CHIROPRACTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KIMBERLI TRADER D.C. (OWNER)
(920) 205-0711
Entity
Organization
Contact information
Practice address
5497 WATERFORD LN, SUITE D, APPLETON, WI 54913-8509
(920) 202-5741
(920) 569-2951
Mailing address
5497 WATERFORD LN, SUITE D, APPLETON, WI 54913-8509
(920) 202-5741
(920) 569-2951
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4622-012
WI
Other
Enumeration date
09/08/2010
Last updated
03/23/2011
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