Organization
WINK CHIROPRACTIC WELLNESS CENTER, SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CRAIG S WINK DC (OWNER)
(920) 921-4130
Entity
Organization
Contact information
Practice address
924 FOREST AVE, SUITE 101, FOND DU LAC, WI 54935-3807
(920) 921-4130
(920) 921-4331
Mailing address
924 FOREST AVE, SUITE 101, FOND DU LAC, WI 54935-3807
(920) 921-4130
(920) 921-4331
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1628012
WI
111N00000X
Chiropractor
3126012
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38766000
—
WI
05
—
38970500
—
WI
Enumeration date
12/22/2006
Last updated
08/22/2020
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