Organization
EAGLE RIVER CHIROPRACTIC SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MICHELLE M MADDEROM DC (OWNER/DOCTOR)
(715) 479-8700
Entity
Organization
Contact information
Practice address
761 US HIGHWAY 45 S, EAGLE RIVER, WI 54521-9110
(715) 479-8700
(715) 479-8799
Mailing address
761 US HIGHWAY 45 S, EAGLE RIVER, WI 54521-9110
(715) 479-8700
(715) 479-8799
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4753012
WI
Other
Enumeration date
11/18/2011
Last updated
01/11/2012
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