Organization
APPLETON WELLNESS WAY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICK FLYNN (MEMBER)
(920) 733-3371
Entity
Organization
Contact information
Practice address
1037 TRUMAN ST, SUITE B, KIMBERLY, WI 54136-2217
(920) 733-3371
Mailing address
1037 TRUMAN ST, SUITE B, KIMBERLY, WI 54136-2217
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4405-012
WI
Other
Enumeration date
12/22/2015
Last updated
02/22/2016
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