Black Creek Chiropractic Office LLC

NPI #1730578915 in Black Creek, Wisconsin

Provider Information

NPI Number: 1730578915
Entity Type: Organization
Organization Name: Black Creek Chiropractic Office LLC
Primary Specialty: Chiropractor
Enumeration Date: Jan 12, 2015
Last Updated: Jan 12, 2015

Practice Location

Address: 411 S MAIN ST
City: Black Creek
State: Wisconsin
ZIP Code: 54106-9501
Phone: (920) 984-3353

Authorized Official

Name: DR. DARREL D KLEMP, D.C.
Title: SOLE MEMBER
Phone: (920) 984-3353

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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