Organization
KOCH CHIROPRACTIC AND WELLNESS CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GINA M KOCH (DR)
(715) 256-9616
Entity
Organization
Contact information
Practice address
1990 GODFREY DR, WAUPACA, WI 54981-7908
(715) 256-9616
(715) 256-9618
Mailing address
1990 GODFREY DR, WAUPACA, WI 54981-7908
(715) 256-9616
(715) 256-9618
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3449-12
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38902900
—
WI
Enumeration date
08/16/2006
Last updated
11/06/2023
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