Organization
COTTAGE GROVE FAMILY CHIROPRACTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. COREY JAMES CHRISTIANSEN D.C. (OWNER)
(608) 839-5787
Entity
Organization
Contact information
Practice address
213 W COTTAGE GROVE RD, COTTAGE GROVE, WI 53527-9327
(608) 839-5787
Mailing address
213 W COTTAGE GROVE RD, COTTAGE GROVE, WI 53527-9327
(608) 839-5787
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3224012
WI
Other
Enumeration date
03/16/2010
Last updated
03/16/2010
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