Organization
VAN ROO CHIROPRACTIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDREW B. VAN ROO D.C. (OWNER)
(715) 926-6001
Entity
Organization
Contact information
Practice address
910 COUNTRYSIDE PKWY, MONDOVI, WI 54755-6000
(715) 926-6001
(715) 926-6002
Mailing address
910 COUNTRYSIDE PKWY, MONDOVI, WI 54755-6000
(715) 926-6001
(715) 926-6002
Taxonomy
Speciality
Code
Description
License number
State
111NX0800X
Orthopedic Chiropractor
Primary
3432
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38901000
—
WI
Enumeration date
06/04/2014
Last updated
06/04/2014
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