Organization
FLYNN CHIROPRACTIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MOLLY MAE FLYNN D.C. (CHIROPRACTOR/OWNER)
(715) 379-6941
Entity
Organization
Contact information
Practice address
1518 MAIN ST, BLOOMER, WI 54724-1639
(715) 568-1600
(715) 568-1604
Mailing address
1518 MAIN ST, BLOOMER, WI 54724-1639
(715) 568-1600
(715) 568-1604
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4377-12
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1063698298
PROVIDER NPI
WI
05
—
38182400
—
WI
Enumeration date
03/24/2009
Last updated
01/27/2015
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