Organization
BRODHEAD CHIROPRACTIC CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAWN ANN SMITH DC (CLINIC DIRECTOR)
(608) 897-3080
Entity
Organization
Contact information
Practice address
807 16TH ST, BRODHEAD, WI 53520-1744
(608) 897-3080
(608) 897-4353
Mailing address
807 16TH STREET, BRODHEAD, WI 53520
(608) 897-3080
(608) 897-4353
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
06573
IA
111N00000X
Chiropractor
Primary
3969
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38954500
—
WI
Enumeration date
05/10/2007
Last updated
08/09/2007
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