Organization
HIGHLAND CHIROPRACTIC SC
Active
Other names
Community Chiropractic center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DUSTIN DAVID RIDDLE DC (DOCTOR)
(262) 673-7600
Entity
Organization
Contact information
Practice address
1501 E SUMNER ST, HARTFORD, WI 53027-2608
(262) 673-7600
(262) 673-7692
Mailing address
1501 E SUMNER ST, HARTFORD, WI 53027-2608
(262) 673-7600
(262) 673-7692
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3880-012
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38961800
—
WI
Enumeration date
06/05/2007
Last updated
08/22/2020
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