Organization
OSHKOSH SPINE WELLNESS CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID DONALD JOSEPH AUGUSTINE DC (OWNER/CHIROPRACTOR)
(920) 277-8940
Entity
Organization
Contact information
Practice address
1210 S KOELLER ST, OSHKOSH, WI 54902-6170
(920) 235-0000
(920) 235-3522
Mailing address
PO BOX 62, MANAWA, WI 54949-0062
(920) 277-8940
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5293-12
WI
Other
Enumeration date
01/25/2018
Last updated
01/25/2018
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