Northern Roots Family Spinal Care, LLC
NPI #1043866460 in Clear Lake, Wisconsin
Provider Information
- NPI Number
- 1043866460
- Entity Type
- Organization
- Organization Name
- Northern Roots Family Spinal Care, LLC
- Primary Specialty
- Chiropractor
- Enumeration Date
- Aug 12, 2019
- Last Updated
- Aug 12, 2019
Practice Location
- Address
- 470 3RD AVE
- City
- Clear Lake
- State
- Wisconsin
- ZIP Code
- 54005
- Phone
- (715) 303-7121
Authorized Official
- Name
- DR. CHASE BRENDAN O'KEEFE, DC
- Title
- CHIEF MANAGER
- Phone
- (715) 563-7447
Specialties & Taxonomy Codes
| Specialty |
|---|
| Chiropractor |
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