Organization
ACTIVE FAMILY CHIROPRACTIC CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREA M KING DC (OWNER)
(920) 229-7215
Entity
Organization
Contact information
Practice address
610 SOUTH ST, GREEN LAKE, WI 54941-9496
(920) 229-7215
Mailing address
PO BOX 163, GREEN LAKE, WI 54941-0163
(920) 229-7215
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
WI
Other
Enumeration date
02/27/2009
Last updated
07/21/2022
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