Organization
VAN DRISSE CHIROPRACTIC CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID M VAN DRISSE D.C. (OWNER)
(920) 337-0103
Entity
Organization
Contact information
Practice address
502 GEORGE ST, DE PERE, WI 54115-2772
(920) 337-0103
(920) 338-9066
Mailing address
502 GEORGE ST, DE PERE, WI 54115-2772
(920) 337-0103
(920) 338-9066
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3145-012
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38921100
—
WI
Enumeration date
10/11/2007
Last updated
09/04/2025
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