Organization
ADVANCED CHIROPRACTIC CLINICS INC
Active
Other names
Advanced Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY SHAW DC (OWNER)
(715) 284-5550
Entity
Organization
Contact information
Practice address
3 E MAIN ST, BLACK RIVER FALLS, WI 54615-1408
(715) 284-5550
(715) 284-3417
Mailing address
3 E MAIN ST, BLACK RIVER FALLS, WI 54615-1408
(715) 284-5550
(715) 284-3417
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2231-.012
WI
Other
Enumeration date
12/09/2015
Last updated
12/09/2015
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