Organization
KUMLIEN CHIROPRACTIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREGORY ROGER KUMLIEN D.C. (OWNER)
(715) 294-4224
Entity
Organization
Contact information
Practice address
204 1/2 2ND AVE EAST, OSCEOLA, WI 54020-0507
(715) 294-4224
Mailing address
PO BOX 507, 204 1/2 2ND AVE EAST, OSCEOLA, WI 54020-0507
(715) 294-4224
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4634-12
WI
Other
Enumeration date
11/01/2011
Last updated
11/01/2011
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