Organization
SCOLIOSIS CENTER OF LA CROSSE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BENJAMIN JOHN BREIDENBACH DC (OWNER)
(608) 386-9328
Entity
Organization
Contact information
Practice address
1526 ROSE ST, SUITE 101, LA CROSSE, WI 54603-2245
(608) 386-9328
(608) 783-5426
Mailing address
1526 ROSE ST, SUITE 101, LA CROSSE, WI 54603-2245
(608) 386-9328
(608) 783-5426
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
367612
WI
Other
Enumeration date
07/29/2014
Last updated
07/29/2014
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