Organization · Type 2 NPI
Vandecastle Family Chiropractic Clinic
Health Service Clinic/Center · Wautoma, WI
NPI number
1871935429
Active
Practice location
140 N. Townline Rd
Wautoma, WI 54982-0512
Fax (920) 787-0091
Mailing address
PO Box 512
Wautoma, WI 54982-0512
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Health Service Clinic/Center Primary | 261QH0100X | 3211-12 (WI) |
Health Service Clinic/Center: Definition to come...
Another provider at this address
About NPI 1871935429
Vandecastle Family Chiropractic Clinic's National Provider Identifier is 1871935429, issued on Jul 24, 2013. The primary taxonomy on file is Health Service Clinic/Center (261QH0100X), and the practice location is in Wautoma, WI. The record was last updated on Jul 24, 2013.