Klusendorf Chiropractic Sc

NPI 1023179942 - Chiropractor - 111N00000X

NPI Details
NPI 1023179942
Enumeration Date 12/13/2006
Last Updated 06/30/2011
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name BRYAN J BRYAN
Position DR OF CHIROPRACTIC OWNER
Phone (920) 735-0773
Fax (920) 735-0293
Practice Location
2505 E EVERGREEN DR
STE
APPLETON WI, 54913-8910, US
Phone (920) 735-0773
Fax (920) 735-0293
Business Location
2505 E EVERGREEN DR
STE A
APPLETON WI, 54913-8910, US
Phone (920) 735-0773
Fax (920) 735-0293
Toxanomy
Taxonomy Code 111N00000X
License State Wisconsin
License Number 1690
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According to our database, Klusendorf Chiropractic Sc NPI is 1023179942, taxonomy code is 111N00000X and license number is 1690, license state is located at Wisconsin. Klusendorf Chiropractic Sc physically located at 2505 E Evergreen Dr, Appleton WI, 54913-8910. NPI Number 1033115704 has the healthcare provider type.

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1023179942 NPI number is provided on an as is basis without warranty of any kind. 1023179942 is maintained by the National Plan & Provider Enumeration System. The contents of Klusendorf Chiropractic Sc are for informational purposes only.