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Organization

APPLE RIVER CHIROPRACTIC LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SAWYER ALEX HILDEBRANT DC (OWNER, CHIROPRACTOR)
(651) 230-4626
Entity
Organization

Contact information

Practice address
242 MAIN ST UNIT 1, SOMERSET, WI 54025-2300
(651) 230-4626
Mailing address
242 MAIN ST UNIT 1, SOMERSET, WI 54025-2300
(651) 230-4626

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
6057-12
PROFESSIONAL LICENSE
WI
01
6356
PROFESSIONAL LICENSE
MN
Enumeration date
02/14/2023
Last updated
02/14/2023
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