Scott Thomas Suprenand D.C.

NPI 1083903090 - Chiropractor - 111N00000X

NPI Details
NPI 1083903090
Gender Male
Enumeration Date 03/30/2011
Last Updated 03/30/2011
Entity Type Individual
Active Over 5 years ago
Practice Location
924 FOREST AVE
#101
FOND DU LAC WI, 54935-3808, US
Phone (920) 921-4130
Fax
Business Location
924 FOREST AVE
#101
FOND DU LAC WI, 54935-3808, US
Phone (920) 921-4130
Fax
Toxanomy
Taxonomy Code 111N00000X
License State Wisconsin
License Number 4745-12
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According to our database, Dr. Scott Thomas Suprenand D.C. NPI is 1083903090, taxonomy code is 111N00000X and license number is 4745-12, license state is located at Wisconsin. Scott Thomas Suprenand D.C. physically located at 924 Forest Ave, Fond Du Lac WI, 54935-3808. NPI Number Scott Thomas Suprenand D.C. has the Individual type.

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1083903090 NPI number is provided on an as is basis without warranty of any kind. 1083903090 is maintained by the National Plan & Provider Enumeration System. The contents of Scott Thomas Suprenand D.C. are for informational purposes only.