C.s. Gonstead Chiropractic Foundation, INC

NPI #1629003017 in Mt. Horeb, Wisconsin

Provider Information

NPI Number: 1629003017
Entity Type: Organization
Organization Name: C.s. Gonstead Chiropractic Foundation, INC
Primary Specialty: Chiropractor
Enumeration Date: Jul 12, 2006
Last Updated: Apr 9, 2015

Practice Location

Address: 1505 SPRINGDALE ST
City: Mt. Horeb
State: Wisconsin
ZIP Code: 53572
Phone: (608) 437-5585

Authorized Official

Name: DIANNE J GORDON
Title: CLINIC MANAGER/ ADMINISTRATOR
Phone: (608) 437-5585

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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