Organization
GOSSE CHIROPRACTIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CLINT JASON GOSSE D.C. (OWNER)
(715) 659-4411
Entity
Organization
Contact information
Practice address
702C EAST WILLOW DRIVE, SPENCER, WI 54479-9344
(715) 659-4411
(715) 659-4414
Mailing address
702C EAST WILLOW DRIVE, SPENCER, WI 54479-9344
(715) 659-4411
(715) 659-4414
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4321012
WI
Other
Enumeration date
07/13/2007
Last updated
07/13/2007
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