NPI Provider: 1659484574
Contact Name: Koch Gina
Position: Dr
Phone: (715) 256-9616
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Koch Chiropractic And Wellness Center Information:
Koch Chiropractic And Wellness Center organization have npi 1659484574, taxonomy code is 111N00000X with license number is 3449-12 in . This Business address located in 217 N Main St, Waupaca, WI 54981 Wisconsin.
Practice Location
Address: 217 N Main St, Waupaca, WI 54981
Phone: (715) 256-9616
Business Location
Address: 217 N Main St, Waupaca, WI 54981
Taxonomy
Taxonomy Code: 111N00000X
License Number: 3449-12
License Number of State: WI
Primary Taxonomy Switch: Y
Enumeration Date: 8/16/2006
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