Individual
DR. BRENT RICHARD PAULSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
336 3RD AVE, CLEAR LAKE, WI 54005-8581
(715) 263-2313
(715) 263-3284
Mailing address
PO BOX 96, CLEAR LAKE, WI 54005-0096
(715) 263-2313
(715) 263-3284
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4949-12
WI
Other
Enumeration date
08/02/2013
Last updated
08/02/2013
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