NPI 1265799928

Cook Chiropractic Office LLC

Organisation Preferred Provider Organization Suring, WI

Practice location

Address: 10971 Clinic Rd, Suring, WI 54174-9741
Phone: (920) 842-2083
Fax: (920) 842-4203

Authorised official

Name: Bruce Douglas Cook
Title: Chiropractor
Phone: (920) 842-2083

Registered specialties

Preferred Provider Organization Primary

Managed Care Organizations Taxonomy 305R00000X Licence 2031-012 (WI)

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Registry record

NPI: 1265799928
Entity type: Organization
NPI issued: 19 Apr 2012
Record last updated: 9 May 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.