Organization
SPINAL HEALTH AND CORRECTION CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRENT D. KOWALKE D.C. (PRESIDENT)
(608) 434-0834
Entity
Organization
Contact information
Practice address
1468 N HIGH POINT RD, MIDDLETON, WI 53562-3683
(608) 833-7422
(608) 833-7421
Mailing address
1468 N HIGH POINT RD, MIDDLETON, WI 53562-3683
(608) 833-7422
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4240012
WI
Other
Enumeration date
07/30/2013
Last updated
12/22/2014
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