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Organization

PROHEALTH CHIROPRACTIC CENTER S.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ERIC STANENAS D.C. (OWNER)
(414) 617-9470
Entity
Organization

Contact information

Practice address
321 CARROLL ST, RANDOM LAKE, WI 53075-1813
(920) 994-2000
Mailing address
321 CARROLL ST, RANDOM LAKE, WI 53075-1813

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary

Other

Enumeration date
04/06/2011
Last updated
05/03/2011
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