Organization
HEGERFELD CHIROPRACTIC LLC
Active
Other names
Restore Wellness Chiropractic and Laser
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VICKI L HEGERFELD DC (OWNER)
(608) 216-3206
Entity
Organization
Contact information
Practice address
9749 KAHL ROAD, BLACK EARTH, WI 53515
(608) 216-3206
Mailing address
PO BOX 316, BLACK EARTH, WI 53515-0316
(608) 216-3206
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2884-012
WI
Other
Enumeration date
06/11/2018
Last updated
06/11/2018
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