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Organization

GILE CHIROPRACTIC AND WELLNESS CLINIC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MICHAEL JOHN GILE JR. D.C. (MEMBER)
(608) 854-2884
Entity
Organization

Contact information

Practice address
3715 N PERCIVAL ST, HAZEL GREEN, WI 53811-9516
(608) 854-2884
(608) 854-2886
Mailing address
3715 N PERCIVAL ST, HAZEL GREEN, WI 53811-9516
(608) 854-2884
(608) 854-2886

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3712-012
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
38929700
WI
Enumeration date
05/14/2007
Last updated
12/27/2011
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