Everest Chiropractic Clinic S.c.

NPI #1407915051 in Weston, Wisconsin

Provider Information

NPI Number: 1407915051
Entity Type: Organization
Organization Name: Everest Chiropractic Clinic S.c.
Primary Specialty: Chiropractor
Enumeration Date: Dec 8, 2006
Last Updated: Jun 8, 2012

Practice Location

Address: 5406 ALDERSON ST
City: Weston
State: Wisconsin
ZIP Code: 54476-2264
Phone: (715) 359-3399

Authorized Official

Name: DR. MARK DEAN PETERSON, D.C.
Title: VICE PRESIDENT
Phone: (715) 359-3399

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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