Organization
DODGEVILLE FAMILY CHIROPRACTIC SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRENDA JO WHITE D.C. (PRESIDENT)
(608) 935-1773
Entity
Organization
Contact information
Practice address
401 N UNION ST, DODGEVILLE, WI 53533-1347
(608) 935-1773
(608) 935-1774
Mailing address
401 N UNION ST, DODGEVILLE, WI 53533-1347
(608) 935-1773
(608) 935-1774
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3780
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38932800
—
WI
Enumeration date
12/08/2006
Last updated
08/22/2020
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