Organization
ADVANCED CHIROPRACTIC, S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PATRICIA E. MARSDEN DC (OFFICE MANAGER)
(232) 877-2196
Entity
Organization
Contact information
Practice address
6905 GREEN BAY RD, SUITE 102, KENOSHA, WI 53142-1458
(262) 697-5000
Mailing address
6905 GREEN BAY RD, SUITE 102, KENOSHA, WI 53142-1458
(262) 697-5000
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
3753-012
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38931200
—
WI
Enumeration date
12/28/2006
Last updated
08/22/2020
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