Organization
PAULSON CHIROPRACTIC CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRENT RICHARD PAULSON D.C. (CHIROPRACTOR)
(715) 263-2313
Entity
Organization
Contact information
Practice address
336 3RD AVE, CLEAR LAKE, WI 54005-8581
(715) 263-2313
Mailing address
PO BOX 96, CLEAR LAKE, WI 54005-0096
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4949
WI
Other
Enumeration date
10/04/2013
Last updated
10/04/2013
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