Organization
EAST SIDE CHIROPRACTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HANS FRITZ JEROSCH D.C. (CHIROPRACTOR & PRESIDENT OF CORP.)
(608) 244-1740
Entity
Organization
Contact information
Practice address
2430 E WASHINGTON AVE, MADISON, WI 53704-5241
(608) 244-1740
Mailing address
2430 E WASHINGTON AVE, MADISON, WI 53704-5241
(608) 244-1740
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1294-012
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38826500
—
WI
Enumeration date
06/04/2007
Last updated
05/08/2008
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