Organization
COULEE HEALTH LLC
Active
Other names
Coulee Health
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KYLE BOLAND D.C. (OWNER)
(608) 612-0777
Entity
Organization
Contact information
Practice address
N4622 COUNTY ROAD M, WEST SALEM, WI 54669-9522
(608) 612-0777
(608) 807-5142
Mailing address
N4622 COUNTY ROAD M, WEST SALEM, WI 54669-9522
(608) 612-0777
(608) 807-5142
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4770012
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1407196298
ORGANIZATIONAL NPI
WI
Enumeration date
02/15/2013
Last updated
07/09/2024
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