Active Family Chiropractic Center LLC
NPI #1992945182 in Green Lake, Wisconsin
Provider Information
- NPI Number
- 1992945182
- Entity Type
- Organization
- Organization Name
- Active Family Chiropractic Center LLC
- Primary Specialty
- Clinic/Center
- Enumeration Date
- Feb 27, 2009
- Last Updated
- Jul 21, 2022
Practice Location
- Address
- 610 SOUTH ST
- City
- Green Lake
- State
- Wisconsin
- ZIP Code
- 54941-9496
- Phone
- (920) 229-7215
Authorized Official
- Name
- ANDREA M KING, DC
- Title
- OWNER
- Phone
- (920) 229-7215
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center |
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