Organization
SIREN CHIROPRACTIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TRAVIS LEE STANFORD D.C. (PRESIDENT)
(715) 349-2770
Entity
Organization
Contact information
Practice address
24128 STATE ROAD 35, SIREN, WI 54872-8006
(715) 349-2770
(715) 349-8799
Mailing address
24128 STATE ROAD 35, PO BOX 31, SIREN, WI 54872-8006
(715) 349-2770
(715) 349-8799
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3347-012
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38899300
—
WI
Enumeration date
01/11/2006
Last updated
08/22/2020
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