Organization
ADVANCED CHIROPRACTIC, S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PATRICIA E. MARSDEN DC (OFFICE MANAGER)
(262) 877-2196
Entity
Organization
Contact information
Practice address
237 E MAIN ST, TWIN LAKES, WI 53181-9681
(262) 877-2196
Mailing address
237 E MAIN ST, PO BOX 130, TWIN LAKES, WI 53181-9681
(262) 877-2196
Taxonomy
Speciality
Code
Description
License number
State
111NX0800X
Orthopedic Chiropractor
Primary
2331-012
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38838300
—
WI
Enumeration date
12/28/2006
Last updated
08/22/2020
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