Organization
ALIGN CHIROPRACTIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GRANT C O'BRIEN (CHIROPRACTOR)
(920) 720-6300
Entity
Organization
Contact information
Practice address
328 S BRIDGE ST, MANAWA, WI 54949-9581
(920) 720-6300
(920) 720-6315
Mailing address
328 S BRIDGE ST, MANAWA, WI 54949-9581
(920) 720-6300
(920) 720-6315
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4582-012
WI
Other
Enumeration date
02/23/2011
Last updated
02/23/2011
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