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Lake Superior Chiropractic Office, S.c.
Chiropractor in Superior, Wisconsin
NPI 1053538959

Lake Superior Chiropractic Office, S.c. is a Chiropractor based in Superior, WI. Lake Superior Chiropractic Office, S.c. practices in Superior, WI. The NPI Number for Lake Superior Chiropractic Office, S.c. is 1053538959 and holds a License No. 2460 (Wisconsin).

The current practice location address for Lake Superior Chiropractic Office, S.c. is 2121 E 5Th St, Superior, WI and can be reached out via phone at 715-398-6679 and via fax at 715-398-6080.

Location: 2121 E 5Th St, Superior, WI, 54880-3610
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1053538959
Provider Name
Lake Superior Chiropractic Office, S.c.
Credential
Provider Entity Type
Organization
Address
2121 E 5Th St, Superior, WI, 54880-3610
Phone Number
715-398-6679
Fax Number
715-398-6080
Provider Enumeration Date
04/20/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
38986200 05 WI
institution
Provider Business Practice Location Address Details
Address
2121 E 5Th St
City
Superior
State
Wisconsin
Zip
54880-3610
Phone Number
715-398-6679
Fax Number
715-398-6080
person
Provider Business Mailing Address Details
Address
2121 E 5Th St
City
Superior
State
Wisconsin
Zip
54880-3610
Phone Number
715-398-6679
Fax Number
715-398-6080
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
2460 (Wisconsin)
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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