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Organization
DUDA CHIROPRACTIC, S.C.
Active
Organization
DUDA CHIROPRACTIC, S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES R DUDA D.C. (OWNER)
(715) 732-4018
Entity
Organization
Contact information
Practice address
3110 GILBERT ST, MARINETTE, WI 54143-1934
(715) 732-4018
(715) 735-6864
Mailing address
3110 GILBERT ST, MARINETTE, WI 54143-1934
(715) 732-4018
(715) 735-6864
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3119-012
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38999700
—
WI
05
—
4724161
—
MI
01
—
9652126
CIGNA
WI
Enumeration date
01/11/2007
Last updated
08/15/2017
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