Wisconsin Spinal Rehabilitation Center S.c.

NPI #1386912954 in East Troy, Wisconsin

Provider Information

NPI Number: 1386912954
Entity Type: Organization
Organization Name: Wisconsin Spinal Rehabilitation Center S.c.
Primary Specialty: Chiropractor
Enumeration Date: Dec 9, 2011
Last Updated: Dec 9, 2011

Practice Location

Address: 3224 W MAIN ST STE E
City: East Troy
State: Wisconsin
ZIP Code: 53120-1152
Phone: (262) 642-4100

Authorized Official

Name: PETER GORDON FRIEDRICHS, DC
Title: CHIROPRACTOR
Phone: (262) 642-4100

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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