Organization
FRANCIS CHIROPRACTIC CLINIC SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIN TUCKER (OFFICE MANAGER)
(920) 892-4833
Entity
Organization
Contact information
Practice address
1005 EASTERN AVE, PLYMOUTH, WI 53073-1920
(920) 892-4833
(920) 892-2106
Mailing address
1005 EASTERN AVE, PLYMOUTH, WI 53073-1920
(920) 892-4833
(920) 892-2106
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
34174160015
BLUE CROSS BLUE SHIELD
WI
Enumeration date
12/12/2006
Last updated
04/15/2015
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