Walworth County Chiropractic

NPI 1548598352 - Chiropractor - 111N00000X

NPI Details
NPI 1548598352
Enumeration Date 12/07/2009
Last Updated 03/17/2010
Entity Type Healthcare Provider
Active Over 6 years ago
Authorized Information
Name FRED D FRED
Position PRESIDENT
Phone (262) 728-8208
Fax (262) 728-9818
Practice Location
1221 PHOENIX ST
DELAVAN WI, 53115-2340, US
Phone (262) 728-8208
Fax (262) 728-9818
Business Location
517 CALDWELL AVE
OCONTO FALLS WI, 54154-1139, US
Phone (920) 846-3778
Fax (920) 846-3877
Toxanomy
Taxonomy Code 111N00000X
License State Wisconsin
License Number 3043-012
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According to our database, Walworth County Chiropractic NPI is 1548598352, taxonomy code is 111N00000X and license number is 3043-012, license state is located at Wisconsin. Walworth County Chiropractic physically located at 1221 Phoenix St, Delavan WI, 53115-2340. NPI Number 1033115704 has the healthcare provider type.

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1548598352 NPI number is provided on an as is basis without warranty of any kind. 1548598352 is maintained by the National Plan & Provider Enumeration System. The contents of Walworth County Chiropractic are for informational purposes only.