Paulson Chiropractic Clinic, Llc

NPI 1215364211 - Chiropractor - 111N00000X

NPI Details
NPI 1215364211
Enumeration Date 10/04/2013
Last Updated 10/04/2013
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name BRENT RICHARD BRENT
Position CHIROPRACTOR
Phone (715) 263-2313
Fax
Practice Location
336 3RD AVE
CLEAR LAKE WI, 54005-8581, US
Phone (715) 263-2313
Fax
Business Location
PO BOX 96
CLEAR LAKE WI, 54005-0096, US
Phone
Fax
Toxanomy
Taxonomy Code 111N00000X
License State Wisconsin
License Number 4949
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According to our database, Paulson Chiropractic Clinic, Llc NPI is 1215364211, taxonomy code is 111N00000X and license number is 4949, license state is located at Wisconsin. Paulson Chiropractic Clinic, Llc physically located at 336 3rd Ave, Clear Lake WI, 54005-8581. NPI Number 1033115704 has the healthcare provider type.

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1215364211 NPI number is provided on an as is basis without warranty of any kind. 1215364211 is maintained by the National Plan & Provider Enumeration System. The contents of Paulson Chiropractic Clinic, Llc are for informational purposes only.