Organization
THE CENTER FOR HUMAN RESTORATION, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA JEAN CONNOR (PRESIDENT)
(715) 478-5202
Entity
Organization
Contact information
Practice address
505 W GLEN ST STE 1, CRANDON, WI 54520-1356
(715) 478-5202
(715) 478-5205
Mailing address
PO BOX 39, CRANDON, WI 54520-0039
(715) 478-5202
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
4632-012
WI
Other
Enumeration date
09/07/2011
Last updated
03/30/2022
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