Organization
ABUNDANT TREE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID R BREITBACH (MEMBER)
(608) 637-7516
Entity
Organization
Contact information
Practice address
500 E JEFFERSON ST STE 103C, VIROQUA, WI 54665-1757
(608) 637-7516
Mailing address
500 E JEFFERSON ST STE 103C, VIROQUA, WI 54665-1757
(608) 637-7516
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
08/22/2007
Last updated
08/22/2007
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