Organization
SUMMIT SPINE AND SPORT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH GALLICK DC (OWNER)
(715) 563-2201
Entity
Organization
Contact information
Practice address
616 S FARWELL ST, EAU CLAIRE, WI 54701-3828
(715) 563-2201
Mailing address
627 GERMANIA ST, EAU CLAIRE, WI 54703-3147
(715) 563-2201
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5074
WI
Other
Enumeration date
05/21/2015
Last updated
05/21/2015
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