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Organization

CLOVER CHIROPRACTIC LLC

Active
Other names
WISCONSIN SPINAL CORRECTION CENTER LLC
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MATTHEW CLOVER D.C. (PRESIDENT)
(920) 722-7947
Entity
Organization

Contact information

Practice address
1576 LYON DR, NEENAH, WI 54956-5069
(920) 722-7947
(920) 722-7949
Mailing address
PO BOX 246, NEENAH, WI 54957-0246
(920) 722-7947
(920) 722-7949

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4089-012
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
38966100
WI
Enumeration date
12/19/2006
Last updated
03/26/2013
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