Organization · Type 2 NPI
Detert Chiropractic Office SC
Chiropractor · Marion, WI
NPI number
1235139353
Active
Practice location
1101 N Main St
Marion, WI 54950-9182
Fax (715) 754-2559
Mailing address
PO Box 485
Marion, WI 54950-0485
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | 2895-012 (WI) |
Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
Another provider at this address
About NPI 1235139353
Detert Chiropractic Office SC's National Provider Identifier is 1235139353, issued on Jul 29, 2005. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Marion, WI. The record was last updated on Jul 9, 2010.