Organization
DR MJ GONSTEAD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARY JOAN GONSTEAD DC (MANAGER)
(715) 832-2223
Entity
Organization
Contact information
Practice address
503 E CLAIREMONT AVE, EAU CLAIRE, WI 54701-6479
(715) 832-2223
(715) 832-7416
Mailing address
503 E CLAIREMONT AVE, EAU CLAIRE, WI 54701-6479
(715) 832-2223
(715) 832-7416
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2063-12
WI
Other
Enumeration date
01/11/2013
Last updated
09/30/2013
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