Wellcorp, LLC

NPI #1841367646 in Omro, Wisconsin

Provider Information

NPI Number: 1841367646
Entity Type: Organization
Organization Name: Wellcorp, LLC
Primary Specialty: Chiropractor
Enumeration Date: Nov 29, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 836 WILLOW ST
City: Omro
State: Wisconsin
ZIP Code: 54963-9373
Phone: (920) 685-3015

Authorized Official

Name: DR. MICHAEL L BOSQUEZ, DC, CCEP
Title: OWNER, CHIROPRACTOR
Phone: (920) 685-3015

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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