Organization
ADVANTAGE CHIROPRACTIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EVAN NORUM D.C. (OWNER)
(920) 420-6753
Entity
Organization
Contact information
Practice address
17047 W GREENFIELD AVE, NEW BERLIN, WI 53151-1364
(920) 420-6753
Mailing address
17047 W GREENFIELD AVE, NEW BERLIN, WI 53151-1364
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5228-12
WI
Other
Enumeration date
01/19/2017
Last updated
01/19/2017
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