Organization
ELITE CHIROPRACTIC BROOKINGS PROF
Active
Other names
Complete Care Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRADLEY DALE WILDBERG D.C. (PRESIDENT,OWNER)
(612) 910-6600
Entity
Organization
Contact information
Practice address
1453 6TH ST, BROOKINGS, SD 57006-1604
(605) 692-2225
(605) 697-5838
Mailing address
20456 LAKE RIDGE DR, PRIOR LAKE, MN 55372-7805
(952) 492-5914
(952) 492-5913
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1095
SD
Other
Enumeration date
12/20/2006
Last updated
08/22/2020
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