Oshkosh Spine Wellness Center LLC

NPI #1447758354 in Oshkosh, Wisconsin

Provider Information

NPI Number: 1447758354
Entity Type: Organization
Organization Name: Oshkosh Spine Wellness Center LLC
Primary Specialty: Chiropractor
Enumeration Date: Jan 25, 2018
Last Updated: Jan 25, 2018

Practice Location

Address: 1210 S KOELLER ST
City: Oshkosh
State: Wisconsin
ZIP Code: 54902-6170
Phone: (920) 235-0000

Authorized Official

Name: DR. DAVID DONALD JOSEPH AUGUSTINE, DC
Title: OWNER/CHIROPRACTOR
Phone: (920) 277-8940

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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