Groth Chiropractic Clinc INC

NPI #1043685316 in West Salem, Wisconsin

Provider Information

NPI Number: 1043685316
Entity Type: Organization
Organization Name: Groth Chiropractic Clinc INC
Primary Specialty: Chiropractor
Enumeration Date: Dec 11, 2015
Last Updated: Dec 11, 2015

Practice Location

Address: 1540 HERITAGE BLVD
Address 2: SUITE 203
City: West Salem
State: Wisconsin
ZIP Code: 54669-1417
Phone: (608) 786-3670

Authorized Official

Name: KEVIN P GROTH, DC
Title: OWNER
Phone: (608) 786-3670

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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