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Organization
DONNERMEYER CHIROPRACTIC L.L. C.
Active
Organization
DONNERMEYER CHIROPRACTIC L.L. C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRADLEY P DONNERMEYER DC (OWNER)
(920) 734-2400
Entity
Organization
Contact information
Practice address
873 N CASALOMA DR, APPLETON, WI 54913-8606
(920) 734-2400
(920) 734-2100
Mailing address
873 N CASALOMA DR, APPLETON, WI 54913-8606
(920) 734-2400
(920) 734-2100
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2798
WI
111N00000X
Chiropractor
3834012
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38907500
—
WI
05
—
38935800
—
WI
01
—
394829414
DR AMY NUSSBAUM'S NETWORK
WI
01
—
394829414EO4
DR AMY NUSSBAUM'S BCBS
WI
01
—
500923885
DR MARKOVICH'S NETWORK
WI
01
—
500923885001
DR JAMES MARKOVICH BCBS
WI
01
—
664066
DR MARKOVICH UNITEDHEALTH
WI
01
—
664130
DR NUSSBAUM UNITEDHEALTH
WI
Enumeration date
08/30/2006
Last updated
05/05/2022
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