Individual
DR. JORDAN MARK KLUEWER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
139 NORTH LAKE STREET, HUSTISFORD, WI 53034
(920) 349-3233
Mailing address
PO BOX 325, 139 N LAKE ST, HUSTISFORD, WI 53034
(920) 349-3233
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4936-12
WI
Other
Enumeration date
07/16/2013
Last updated
07/16/2013
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