Organization
ELK MOUND CHIROPRACTIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDWARD PAUL RYGIEL D.C. (PROVIDER/OWNER)
(715) 879-4480
Entity
Organization
Contact information
Practice address
205 W MENOMONIE ST, ELK MOUND, WI 54739-9520
(715) 879-4480
(715) 879-4490
Mailing address
205 W MENOMONIE ST, ELK MOUND, WI 54739-9520
(715) 879-4480
(715) 879-4490
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4513-012
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1063640662
—
WI
Enumeration date
08/20/2009
Last updated
08/20/2009
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