Organization
GATEWAY CHIROPRACTIC S C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JASON LANG D.C. (OWNER)
(920) 731-3255
Entity
Organization
Contact information
Practice address
4070 W SPENCER ST, APPLETON, WI 54914-4015
(920) 731-3255
(920) 731-3357
Mailing address
4070 W SPENCER ST, APPLETON, WI 54914-4015
(920) 731-3255
(920) 731-3357
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3820-012
WI
Other
Enumeration date
01/18/2007
Last updated
06/19/2013
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