Organization
RIVERSEDGE CHIROPRACTIC, LLC
Active
Organization
RIVERSEDGE CHIROPRACTIC, LLC
Active
Other names
Paull Chiropractic at Riversedge
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDREW PAULL DC, CCSP (OWNER/ CHIROPRACTOR)
(608) 754-8977
Entity
Organization
Contact information
Practice address
111 N MAIN ST, SUITE 100, JANESVILLE, WI 53545-3096
(608) 754-8977
(608) 754-8979
Mailing address
111 N MAIN ST, SUITE 100, JANESVILLE, WI 53545-3096
(608) 754-8977
(608) 754-8979
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
4035-012
WI
Other
Enumeration date
02/14/2014
Last updated
02/14/2014
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