Northern Chiropractic and Wellness LLC

NPI #1619427630 in Crivitz, Wisconsin

Provider Information

NPI Number: 1619427630
Entity Type: Organization
Organization Name: Northern Chiropractic and Wellness LLC
Primary Specialty: Chiropractor
Enumeration Date: Oct 13, 2016
Last Updated: Oct 13, 2016

Practice Location

Address: 709 DYER ST
City: Crivitz
State: Wisconsin
ZIP Code: 54114-7480
Phone: (715) 854-5025

Authorized Official

Name: DR. KELLEN J. BLANCK-GROTT, D.C.
Title: OWNER/DOCTOR OF CHIROPRACTIC
Phone: (715) 854-5025

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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