Organization
CALEDONIA CHIROPRACTIC CLINIC, SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIMOTHY P. SCHNEIDER D.C. (PRESIDENT)
(262) 681-8829
Entity
Organization
Contact information
Practice address
5401 DOUGLAS AVE, SUITE A, RACINE, WI 53402
(262) 681-8829
(262) 681-8830
Mailing address
5401 DOUGLAS AVE, SUITE A, RACINE, WI 53402
(262) 681-8829
(262) 681-8830
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3317-012
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39002000
—
WI
Enumeration date
08/11/2006
Last updated
04/03/2013
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