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Individual
DR. BRETT RUSSELL MCDONOUGH
Active
Individual
DR. BRETT RUSSELL MCDONOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
007055
IA
111N00000X
Chiropractor
Primary
4286-012
WI
Other
Enumeration date
02/02/2007
Last updated
10/23/2018
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