Organization
IN BALANCE CHIROPRACTIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EARL ROTH D.C. (MEMBER)
(715) 623-5300
Entity
Organization
Contact information
Practice address
721 CENTURY AVE, ANTIGO, WI 54409-2473
(715) 623-5300
Mailing address
721 CENTURY AVE, ANTIGO, WI 54409-2473
(715) 623-5300
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3510-012
WI
Other
Enumeration date
04/09/2014
Last updated
07/17/2023
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