Detert Chiropractic Office Sc

NPI 1235139353 - Chiropractor - 111N00000X

NPI Details
NPI 1235139353
Enumeration Date 07/29/2005
Last Updated 07/09/2010
Entity Type Healthcare Provider
Active Over 11 years ago
Authorized Information
Phone (715) 754-2555
Fax (715) 754-2559
Practice Location
1101 N MAIN ST
MARION WI, 54950-9182, US
Phone (715) 754-2555
Fax (715) 754-2559
Business Location
PO BOX 485
MARION WI, 54950-0485, US
Phone (715) 754-2555
Fax (715) 754-2559
Taxonomy Code 111N00000X
License State Wisconsin
License Number 2895-012
Remove 1235139353 NPI Number

According to our database, Detert Chiropractic Office Sc NPI is 1235139353, taxonomy code is 111N00000X and license number is 2895-012, license state is located at Wisconsin. Detert Chiropractic Office Sc physically located at 1101 N Main St, Marion WI, 54950-9182. NPI Number 1033115704 has the healthcare provider type.

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1235139353 NPI number is provided on an as is basis without warranty of any kind. 1235139353 is maintained by the National Plan & Provider Enumeration System. The contents of Detert Chiropractic Office Sc are for informational purposes only.