Organization
DRAEGER CHIROPRACTIC CLINIC, S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID DEWAINE DRAEGER D.C. (OWNER)
(715) 479-5995
Entity
Organization
Contact information
Practice address
302B W PINE STREET, EAGLE RIVER, WI 54521-2708
(715) 479-5995
(715) 479-1617
Mailing address
PO BOX 2708, EAGLE RIVER, WI 54521-2708
(715) 479-5995
(715) 479-1617
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3163-012
WI
Other
Enumeration date
12/22/2006
Last updated
07/15/2010
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