Provider First Line Business Practice Location Address:
612 EAST MAIN STREET
Provider Second Line Business Practice Location Address:
BAKKE CHIROPRACTIC CLINIC SC
Provider Business Practice Location Address City Name:
WAUNAKEE
Provider Business Practice Location Address State Name:
WI
Provider Business Practice Location Address Postal Code:
53597
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
608-849-9014
Provider Business Practice Location Address Fax Number:
608-849-9015
Provider Enumeration Date:
10/16/2006