Organization
ELITE CHIROPRACTIC SHEBOYGAN SC
Active
Other names
Wisconsin Spine Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRADLEY D WILDBERG D.C. (OWNER, PRESIDENT)
(612) 910-6600
Entity
Organization
Contact information
Practice address
1720 N 8TH ST, SHEBOYGAN, WI 53081-2773
(920) 803-2225
Mailing address
20456 LAKE RIDGE DR, PRIOR LAKE, MN 55372-7805
(612) 910-6600
(952) 492-5913
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1600
WI
Other
Enumeration date
03/10/2007
Last updated
08/22/2020
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