Wade David Skogman D.C.,C.S.C.S.,D.A.B.

NPI 1053319004 - Chiropractor - 111NS0005X

NPI Details
NPI 1053319004
Gender Male
Enumeration Date 07/13/2005
Last Updated 07/08/2007
Entity Type Individual
Active Over 12 years ago
Practice Location
126 S MAIN ST
SEYMOUR WI, 54165-1475, US
Phone (920) 833-7844
Fax
Business Location
N8632 WOODLAND DR
SEYMOUR WI, 54165-8875, US
Phone
Fax
Toxanomy
Taxonomy Code 111NS0005X
License State Wisconsin
License Number 3140
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According to our database, Dr. Wade David Skogman D.C.,C.S.C.S.,D.A.B. NPI is 1053319004, taxonomy code is 111NS0005X and license number is 3140, license state is located at Wisconsin. Wade David Skogman D.C.,C.S.C.S.,D.A.B. physically located at 126 S Main St, Seymour WI, 54165-1475. NPI Number Wade David Skogman D.C.,C.S.C.S.,D.A.B. has the Individual type.

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1053319004 NPI number is provided on an as is basis without warranty of any kind. 1053319004 is maintained by the National Plan & Provider Enumeration System. The contents of Wade David Skogman D.C.,C.S.C.S.,D.A.B. are for informational purposes only.