Organization
GALLICK CHIROPRACTIC LLC
Active
Other names
Core Spine
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHANE GALLICK DC (OWNER/CLINIC DIRECTOR)
(720) 448-5274
Entity
Organization
Contact information
Practice address
4753 COUNTY HIGHWAY J, LAKE HALLIE, WI 54729-3387
(720) 448-5274
Mailing address
4753 COUNTY HIGHWAY J, LAKE HALLIE, WI 54729-3387
(720) 448-5274
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5073
WI
Other
Enumeration date
05/31/2017
Last updated
07/21/2022
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