Organization
APPLE CLINIC SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER LINN RADA D.C. (OWNER/CHIROPRACTOR)
(920) 686-0328
Entity
Organization
Contact information
Practice address
814 JAY ST, MANITOWOC, WI 54220-4520
(920) 686-0328
(920) 686-1035
Mailing address
814 JAY ST, MANITOWOC, WI 54220-4520
(920) 686-0328
(920) 686-1035
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3703012
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38927900
—
WI
Enumeration date
07/09/2006
Last updated
12/28/2012
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