Vandecastle Family Chiropractic Clinic

NPI 1871935429 - Clinic/Center - 261QH0100X

NPI Details
NPI 1871935429
Enumeration Date 07/24/2013
Last Updated 07/24/2013
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name MARK JAMES MARK
Position OWNER
Phone (920) 787-0122
Fax (920) 787-0091
Practice Location
140 N. TOWNLINE RD
WAUTOMA WI, 54982-0512, US
Phone (920) 787-0122
Fax (920) 787-0091
Business Location
PO BOX 512
WAUTOMA WI, 54982-0512, US
Phone (920) 787-0122
Fax (920) 787-0091
Toxanomy
Taxonomy Code 261QH0100X
License State Wisconsin
License Number 3211-12
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According to our database, Vandecastle Family Chiropractic Clinic NPI is 1871935429, taxonomy code is 261QH0100X and license number is 3211-12, license state is located at Wisconsin. Vandecastle Family Chiropractic Clinic physically located at 140 N. Townline Rd, Wautoma WI, 54982-0512. NPI Number 1033115704 has the healthcare provider type.

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1871935429 NPI number is provided on an as is basis without warranty of any kind. 1871935429 is maintained by the National Plan & Provider Enumeration System. The contents of Vandecastle Family Chiropractic Clinic are for informational purposes only.