Organization
GONZALEZ FAMILY CHIROPRACTIC LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GUILLERMO EDUARDO GONZALEZ D.C. (MEMBER/OWNER)
(715) 356-1606
Entity
Organization
Contact information
Practice address
1105 4TH AVENUE, WOODRUFF, WI 54568-2061
(715) 356-1606
(715) 356-2170
Mailing address
1105 4TH AVENUE, PO BOX 2061, WOODRUFF, WI 54568-2061
(715) 356-1606
(715) 356-2170
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3390-12
WI
111NN1001X
Nutrition Chiropractor
3390-12
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38901900
—
WI
Enumeration date
05/13/2016
Last updated
05/13/2016
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