ELITE SPORT & SPINE, LLC

WAUKESHA, WI
NPI1053740803
Entity TypeOrganization
Authorized ContactZACH SHIELS
Owner
920-723-5197
Organization Subpart ?No
Primary Taxonomy111N00000X Chiropractor
(Licence: WI  4968-12)
Enumeration Date2013-11-02
Last Update Date2013-11-02
Business Address
ELITE SPORT & SPINE, LLC
1375 S CHEROKEE DR
WAUKESHA, WI 53186-5343
Phone number: 920-723-5197
Mailing Address
ELITE SPORT & SPINE, LLC
1375 S CHEROKEE DR
WAUKESHA, WI 53186-5343
Phone number: 920-723-5197
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