Provider First Line Business Practice Location Address:
715 WEST MAIN STREET
Provider Second Line Business Practice Location Address:
BAKKE CHIROPRACTIC CLINIC SC
Provider Business Practice Location Address City Name:
SUN PRAIRIE
Provider Business Practice Location Address State Name:
WI
Provider Business Practice Location Address Postal Code:
53590
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
608-837-7600
Provider Business Practice Location Address Fax Number:
608-837-0633
Provider Enumeration Date:
09/20/2006