Organization
MOSINEE FAMILY CHIROPRACTIC SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY ALIDA SACKMANN (BILLING MANAGER)
(715) 693-4144
Entity
Organization
Contact information
Practice address
107 MAPLE ST, MOSINEE, WI 54455-1924
(715) 693-4144
Mailing address
107 MAPLE ST, MOSINEE, WI 54455-1924
(715) 693-4144
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1418-012
WI
Other
Enumeration date
11/05/2015
Last updated
12/02/2019
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