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Individual
MR. JACK W SCHERMERHORN
Active
Individual
MR. JACK W SCHERMERHORN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1676
WI
111N00000X
Chiropractor
2465
MN
171100000X
Acupuncturist
002465
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
391396774
TAX ID
WI
01
—
4797820
TAX ID
MN
Enumeration date
09/20/2006
Last updated
10/01/2011
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