Organization
LONG CHIROPRACTIC CENTER SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CASEY LONG DC (PRESIDENT)
(715) 881-1411
Entity
Organization
Contact information
Practice address
406 SOUTH HOWARD STREET, WITTENBERG, WI 54499
(715) 253-2239
(715) 253-3331
Mailing address
W17314 MAPLE RD, WITTENBERG, WI 54499-8553
(715) 881-1411
(715) 253-3331
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
477212
WI
Other
Enumeration date
01/23/2015
Last updated
05/05/2015
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