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Organization
MARK J. PENSIS CHIROPRACTIC, S.C.
Active
Organization
MARK J. PENSIS CHIROPRACTIC, S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHANNON HELEN TREMPER (OFFICE MANAGER)
(715) 823-2912
Entity
Organization
Contact information
Practice address
275 S MAIN ST, CLINTONVILLE, WI 54929-1604
(715) 823-2912
Mailing address
PO BOX 266, CLINTONVILLE, WI 54929-0266
(715) 823-2912
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2292-012
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38833800
—
WI
01
—
391524586016
BLUE CROSS
WI
01
—
6264
NETWORK
WI
Enumeration date
12/04/2006
Last updated
08/22/2020
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