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Organization

PANK CHIROPRACTIC, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SARA PANK DC (OWNER)
(715) 538-2333
Entity
Organization

Contact information

Practice address
36321 MAIN ST, WHITEHALL, WI 54773-9186
(715) 538-2333
(715) 538-2429
Mailing address
36321 MAIN ST, WHITEHALL, WI 54773-9186
(715) 538-2333
(715) 538-2429

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4149-012
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
38963700
WI
Enumeration date
12/18/2008
Last updated
01/14/2009
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