Organization

Active Family Chiropractic Center Llc

Clinic/Center in Green Lake, WI(View on Map)

Legal Business Name

Active Family Chiropractic Center Llc

NPI Number

1992945182

NPI Type

Organization

Enumeration Date

02/27/2009

Specialties

(Taxonomies)

Code

261Q00000X

Primary Taxonomy

Yes

Contact
Information

Purpose

Mailing
Location

Address

PO BOX 163
610 SOUTH ST

City

Green Lake
Green Lake

State

WI
WI

Postal Code

54941-0163
54941-9496

Country

US
US

Telephone Number

(920) 229-7215
(920) 229-7215

Authorized Official

Name

Andrea King

Title or Position

OWNER

Telephone Number

(920) 229-7215

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 07/21/2022

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