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Organization

COOK CHIROPRACTIC OFFICE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. BRUCE DOUGLAS COOK B.S. D.C. (CHIROPRACTOR)
(920) 842-2083
Entity
Organization

Contact information

Practice address
10971 CLINIC RD, SURING, WI 54174-9741
(920) 842-2083
(920) 842-4203
Mailing address
10971 CLINIC RD, SURING, WI 54174-9741
(920) 842-2083
(920) 842-4203

Taxonomy

Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
2031-012
WI

Other

Enumeration date
04/19/2012
Last updated
05/09/2012
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