Organization
OCONOMOWOC CHIROPRACTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFF DANIEL RUTKOWSKI D.C. (OWNER)
(262) 567-4999
Entity
Organization
Contact information
Practice address
880 SUMMIT AVE, OCONOMOWOC, WI 53066-3975
(262) 567-4999
(262) 567-4699
Mailing address
880 SUMMIT AVE, OCONOMOWOC, WI 53066-3975
(262) 567-4999
(262) 567-4699
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4325-012
WI
Other
Enumeration date
02/04/2009
Last updated
11/06/2024
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