Organization
WAUPACA CHIROPRACTIC CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MIRIAM JOY LEEAN D.C. (PRESIDENT)
(715) 258-8211
Entity
Organization
Contact information
Practice address
700 HILLCREST DR, WAUPACA, WI 54981-1410
(715) 258-8211
(715) 258-0118
Mailing address
700 HILLCREST DR, WAUPACA, WI 54981-1410
(715) 258-8211
(715) 258-0118
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
2695
WI
111N00000X
Chiropractor
Primary
3651-012
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38934000
—
WI
Enumeration date
08/16/2005
Last updated
08/22/2020
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