Organization
DEFINED SPINE CHIROPRACTIC & WELLNESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CASEY CHRISTOPHER BRENNAN GOESSL D.C. (OWNER/PRESIDENT)
(715) 247-4009
Entity
Organization
Contact information
Practice address
407 LASER DR, SOMERSET, WI 54025-7430
(715) 247-4009
(715) 247-3366
Mailing address
407 LASER DR, SOMERSET, WI 54025-7430
(715) 247-4009
(715) 247-3366
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4271-012
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38972500
—
WI
Enumeration date
01/21/2010
Last updated
01/21/2010
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