Chiro Life Clinic LLC

NPI #1205265022 in Oshkosh, Wisconsin

Provider Information

NPI Number: 1205265022
Entity Type: Organization
Organization Name: Chiro Life Clinic LLC
Primary Specialty: Chiropractor
Enumeration Date: Nov 2, 2013
Last Updated: Dec 24, 2013

Practice Location

Address: 1052 WITZEL AVE
City: Oshkosh
State: Wisconsin
ZIP Code: 54902-5720
Phone: (920) 203-0477

Authorized Official

Name: DR. KHAM SING XIONG, D.C.
Title: MEMBER
Phone: (920) 203-0477

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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