Organization
TRI COUNTY CHIROPRACTIC SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. WANDA J ROEBKE DC (OWNER CHRIOPRACTOR)
(920) 730-1155
Entity
Organization
Contact information
Practice address
702 EISENHOWER DRIVE SUITE G, KIMBERLY, WI 54136
(920) 730-1155
(920) 730-1148
Mailing address
702 EISENHOWER DRIVE SUITE G, KIMBERLY, WI 54136
(920) 730-1155
(920) 730-1148
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38995300
—
WI
Enumeration date
08/30/2006
Last updated
09/09/2010
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