Organization
ELITE PERFORMANCE CHIROPRACTIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SARAH ANN GUITRON (OFFICE MANAGER)
(262) 903-0414
Entity
Organization
Contact information
Practice address
W305S6799 COUNTY ROAD I, MUKWONAGO, WI 53149-9782
(262) 903-0414
Mailing address
W305S6799 COUNTY ROAD I, MUKWONAGO, WI 53149-9782
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
443212
WI
Other
Enumeration date
04/18/2014
Last updated
04/18/2014
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