Organization
BLACK EARTH CHIROPRACTIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DUSTIN REESON D.C. (CHIROPRACTOR/OWNER)
(608) 798-3437
Entity
Organization
Contact information
Practice address
9749 KAHL RD, BLACK EARTH, WI 53515-9516
(608) 767-2226
Mailing address
9749 KAHL RD, BLACK EARTH, WI 53515-9516
(608) 767-2226
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
4130-012
WI
Other
Enumeration date
02/26/2013
Last updated
02/26/2013
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