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Organization

PETERSON CHIROPRACTIC CLINIC LTD

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. TIMOTHY JOHN PETERSON DC (SECRETARY TREASURER)
(715) 568-1251
Entity
Organization

Contact information

Practice address
10135 HWY SS, BLOOMER, WI 54724
(715) 568-1251
(715) 568-1252
Mailing address
10135 HWY SS, BLOOMER, WI 54724
(715) 568-1251
(715) 568-1252

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary

Other

Enumeration date
11/07/2006
Last updated
08/22/2020
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