Advanced Spine Center, S.c.

NPI #1497290761 in Mequon, Wisconsin

Provider Information

NPI Number: 1497290761
Entity Type: Organization
Organization Name: Advanced Spine Center, S.c.
Primary Specialty: Chiropractor
Enumeration Date: Dec 22, 2016
Last Updated: Dec 22, 2016

Practice Location

Address: 11203 N BUNTROCK AVE
Address 2: 100
City: Mequon
State: Wisconsin
ZIP Code: 53092-1857
Phone: (262) 512-1661

Authorized Official

Name: MOLLY HAUSMANN, D.C.
Title: OWNER/CHIROPRACTOR
Phone: (262) 512-1661

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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