Organization
BLACK CREEK CHIROPRACTIC OFFICE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DARREL D KLEMP D.C. (SOLE MEMBER)
(920) 984-3353
Entity
Organization
Contact information
Practice address
411 S MAIN ST, BLACK CREEK, WI 54106-9501
(920) 984-3353
(920) 984-3354
Mailing address
PO BOX 261, BLACK CREEK, WI 54106-0261
(920) 984-3353
(920) 984-3354
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
01/12/2015
Last updated
01/12/2015
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