Organization
EVERGREEN CHIROPRACTIC SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AMANDA ELYSE EBERLE DC (OWNER)
(815) 295-6681
Entity
Organization
Contact information
Practice address
W69N968 WASHINGTON AVE, CEDARBURG, WI 53012-3207
(262) 375-4001
Mailing address
N67W5486 COLUMBIA RD, CEDARBURG, WI 53012-2126
(815) 291-6681
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
09/26/2023
Last updated
08/29/2024
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