Organization
VANWINKLE FAMILY CHIROPRACTIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARRIE LEE VANWINKLE D.C. (PRESIDENT)
(715) 582-4098
Entity
Organization
Contact information
Practice address
880 FRONTAGE RD, SUITE H, PESHTIGO, WI 54157-1725
(715) 582-4098
(715) 582-4097
Mailing address
880 FRONTAGE RD, SUITE H, PESHTIGO, WI 54157-1725
(715) 582-4098
(715) 582-4097
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3893-012
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1790883460
NPI
WI
Enumeration date
09/08/2014
Last updated
09/08/2014
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