Glen R Ledvina D.C.

NPI 1306048822 - Chiropractor - 111N00000X

NPI Details
NPI 1306048822
Gender Male
Enumeration Date 06/05/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
107 N HIGHWAY 141
CRIVITZ WI, 54114-0008, US
Phone (715) 854-7073
Fax
Business Location
107 S HWY 141
PO BOX 8
CRIVITZ WI, 54114-0008, US
Phone (715) 854-7073
Fax
Toxanomy
Taxonomy Code 111N00000X
License State Wisconsin
License Number 2173-012
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According to our database, Glen R Ledvina D.C. NPI is 1306048822, taxonomy code is 111N00000X and license number is 2173-012, license state is located at Wisconsin. Glen R Ledvina D.C. physically located at 107 N Highway 141, Crivitz WI, 54114-0008. NPI Number Glen R Ledvina D.C. has the Individual type.

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1306048822 NPI number is provided on an as is basis without warranty of any kind. 1306048822 is maintained by the National Plan & Provider Enumeration System. The contents of Glen R Ledvina D.C. are for informational purposes only.