Organization
RUBERT CHIROPRACTIC CLINIC, S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL DAVID RUBERT D.C. (OWNER PRESIDENT)
(920) 349-3233
Entity
Organization
Contact information
Practice address
139 N LAKE ST, HUSTISFORD, WI 53034
(920) 349-3233
(920) 349-3933
Mailing address
PO BOX 325, HUSTISFORD, WI 53034-0325
(920) 349-3233
(920) 349-3933
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3728012
WI
Other
Enumeration date
11/27/2006
Last updated
12/05/2007
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