Van Drisse Chiropractic Center Llc

NPI 1194913434 - Chiropractor - 111N00000X

NPI Details
NPI 1194913434
Enumeration Date 10/11/2007
Last Updated 10/11/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name DAVID M DAVID
Position OWNER
Phone (920) 337-0103
Fax (920) 338-9066
Practice Location
502A GEORGE ST
DE PERE WI, 54115-2714, US
Phone (920) 337-0103
Fax (920) 338-9066
Business Location
502A GEORGE ST
DE PERE WI, 54115-2714, US
Phone (920) 337-0103
Fax (920) 338-9066
Toxanomy
Taxonomy Code 111N00000X
License State Wisconsin
License Number 3145-012
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According to our database, Van Drisse Chiropractic Center Llc NPI is 1194913434, taxonomy code is 111N00000X and license number is 3145-012, license state is located at Wisconsin. Van Drisse Chiropractic Center Llc physically located at 502a George St, De Pere WI, 54115-2714. NPI Number 1033115704 has the healthcare provider type.

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1194913434 NPI number is provided on an as is basis without warranty of any kind. 1194913434 is maintained by the National Plan & Provider Enumeration System. The contents of Van Drisse Chiropractic Center Llc are for informational purposes only.