Organization
ANDERSON CHIROPRACTIC AND WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CRAIG W. ANDERSON DC (DOCTOR OF CHIROPRACTIC)
(715) 231-2222
Entity
Organization
Contact information
Practice address
1202 BROADWAY ST N, MENOMONIE, WI 54751-1517
(715) 231-2222
(715) 231-2224
Mailing address
1202 BROADWAY ST N, MENOMONIE, WI 54751-1517
(715) 231-2222
(715) 231-2224
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3886012
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1811074644
PERSONAL NPI
WI
05
—
38945200
—
WI
Enumeration date
03/13/2011
Last updated
03/13/2011
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