Organization
JENNIFER GONSTEAD CHIROPRACTIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER ROSE GONSTEAD D.C. (OWNER)
(715) 456-6967
Entity
Organization
Contact information
Practice address
503 E CLAIREMONT AVE, EAU CLAIRE, WI 54701-6479
(715) 832-2223
Mailing address
503 E CLAIREMONT AVE, EAU CLAIRE, WI 54701-6479
(715) 832-2223
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5071-12
WI
Other
Enumeration date
02/05/2015
Last updated
02/05/2015
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