Organization
HUBERTUS CHIROPRACTIC CENTER SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHELLE DEFERE D.C. (PRESIDENT)
(262) 628-1960
Entity
Organization
Contact information
Practice address
1282 STATE ROAD 175, HUBERTUS, WI 53033-9677
(262) 682-1960
Mailing address
1282 STATE ROAD 175, HUBERTUS, WI 53033-9677
(262) 682-1960
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2330
WI
Other
Enumeration date
02/14/2007
Last updated
12/16/2010
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