Organization
EVEREST CHIROPRACTIC CLINIC S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK DEAN PETERSON D.C. (VICE PRESIDENT)
(715) 359-3399
Entity
Organization
Contact information
Practice address
5406 ALDERSON ST, WESTON, WI 54476-2264
(715) 359-3399
Mailing address
5406 ALDERSON ST, WESTON, WI 54476-2264
(715) 355-0264
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
12/08/2006
Last updated
06/08/2012
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