Organization
WILSON CHIROPRACTIC WELLNESS CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSHUA WILSON (CHIROPRACTOR)
(608) 732-1368
Entity
Organization
Contact information
Practice address
9102 SHORT CUT RD, LANCASTER, WI 53813-9202
(608) 723-6188
Mailing address
9102 SHORT CUT RD, LANCASTER, WI 53813-9202
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38970100
—
WI
Enumeration date
07/19/2017
Last updated
08/29/2017
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