BRADLEY A KOTHLOW

Dr BRADLEY A KOTHLOW is a male medical professional, specializing in Chiropractic. He graduated in 1985 from Northwestern College Of Chiropractic.

Contact

109 MAIN ST
BALSAM LAKE
WI
548102449

Tel: 7154853575

BRADLEY A KOTHLOW Information

Npi 1447335609
Pac Id 1951580109
Professional Enrollment Id I20110120000633
Last Name KOTHLOW
First Name BRADLEY
Middle Name A
Suffix
Gender M
Credential
Medical School Name NORTHWESTERN COLLEGE OF CHIROPRACTIC
Graduation Year 1985
Primary Specialty CHIROPRACTIC
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name
Group Practice Pac Id
Number Of Group Practice Members
Line 1 Street Address 109 MAIN ST
Line 2 Street Address
Marker Of Address Line 2 Suppression
City BALSAM LAKE
State WI
Zip Code 548102449
Phone Number 7154853575
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment M

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