Organization
CHIRO LIFE CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KHAM SING XIONG D.C. (MEMBER)
(920) 203-0477
Entity
Organization
Contact information
Practice address
1052 WITZEL AVE, OSHKOSH, WI 54902-5720
(920) 203-0477
Mailing address
860 FARMINGTON AVE, OSHKOSH, WI 54901-1172
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4928-12
WI
Other
Enumeration date
11/02/2013
Last updated
12/24/2013
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