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Organization
DALE R. ALT, D.C., S.C.
Active
Organization
DALE R. ALT, D.C., S.C.
Active
Other names
Alt Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DALE RAYMOND ALT DC (OWNER)
(920) 887-3717
Entity
Organization
Contact information
Practice address
127 PARK AVE, BEAVER DAM, WI 53916-2107
(920) 887-3717
(920) 887-0220
Mailing address
127 PARK AVE, BEAVER DAM, WI 53916-2107
(920) 887-3717
(920) 887-0220
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2007-012
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38833700
—
WI
Enumeration date
11/27/2006
Last updated
03/23/2012
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