Organization
HIETPAS CHIROPRACTIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CATHLEEN L HIETPAS DC (BUSINESS MANAGER)
(920) 743-2200
Entity
Organization
Contact information
Practice address
1444 EGG HARBOR RD, STURGEON BAY, WI 54235-1240
(920) 743-2200
(920) 743-2250
Mailing address
1444 EGG HARBOR RD, STURGEON BAY, WI 54235-1240
(920) 743-2200
(920) 743-2250
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2818
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38880000
—
WI
Enumeration date
07/23/2008
Last updated
07/23/2008
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