Organization
SPARTA CHIROPRACTIC CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CINDY L PUENT DC (OWNER)
(608) 269-1451
Entity
Organization
Contact information
Practice address
110 W WISCONSIN ST, SPARTA, WI 54656-2314
(608) 269-1451
(608) 269-1452
Mailing address
110 W WISCONSIN ST, SPARTA, WI 54656-2314
(608) 269-1451
(608) 269-1452
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3690
WI
Other
Enumeration date
12/27/2007
Last updated
01/17/2008
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