Organization
LAKES CHIROPRACTIC & WELLNESS SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EARL J. ROTH D.C. (SHAREHOLDER)
(715) 365-1200
Entity
Organization
Contact information
Practice address
761 US HIGHWAY 45 S, EAGLE RIVER, WI 54521-9110
(715) 479-8700
Mailing address
761 US HIGHWAY 45 S, EAGLE RIVER, WI 54521-9110
(715) 479-8700
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
12/01/2008
Last updated
12/01/2008
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