Organization
REILLY CHIROPRACTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BROGHAN JAMES REILLY D.C., M.S. (OWNER)
(715) 723-2892
Entity
Organization
Contact information
Practice address
4751 W PARK AVE, CHIPPEWA FALLS, WI 54729-2752
(715) 723-2892
(715) 723-3540
Mailing address
4751 W PARK AVE, LAKE HALLIE, WI 54729-2752
(715) 723-2892
(715) 723-3540
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4512-012
WI
Other
Enumeration date
11/05/2010
Last updated
08/17/2021
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