Organization
REJUVENATE LIFE CHIROPRACTIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERIN DENIL D.C. (CHIROPRACTOR)
(920) 883-2095
Entity
Organization
Contact information
Practice address
44 S 2ND AVE, STURGEON BAY, WI 54235
(920) 818-0045
Mailing address
1828 ASPEN LN, GREEN BAY, WI 54303-2314
(920) 883-2095
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4464-12
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1497989677
—
WI
Enumeration date
05/05/2009
Last updated
08/15/2018
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