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Organization

ROOT OF WELLNESS CHIROPRACTIC LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CARLI M VANGOETHEM DC (OWNER/CHIROPRACTOR)
(920) 621-1854
Entity
Organization

Contact information

Practice address
402 ELLIS ST, KEWAUNEE, WI 54216-1329
(920) 388-4499
Mailing address
402 ELLIS ST, KEWAUNEE, WI 54216-1329
(920) 388-4499

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary

Other

Enumeration date
04/24/2023
Last updated
04/24/2023
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