Organization
COON VALLEY CHIROPRACTIC S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARYPAT C. PETERSON D.C. (OWNER)
(608) 452-2525
Entity
Organization
Contact information
Practice address
113 CENTRAL AVE, COON VALLEY, WI 54623-8039
(608) 452-2525
(608) 452-2526
Mailing address
113 CENTRAL AVE, COON VALLEY, WI 54623-8039
(608) 452-2525
(608) 452-2526
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3133-012
WI
Other
Enumeration date
11/01/2006
Last updated
08/22/2020
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