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Individual

COLLEEN POMPLUN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DC

Contact information

Practice address
505 LAKE STREET, GREEN LAKE, WI 54941
(920) 294-3130
(855) 410-0730
Mailing address
PO BOX 458, GREEN LAKE, WI 54941-0458
(920) 294-3130
(855) 410-0730

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3020
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
38873800
WI
Enumeration date
12/22/2006
Last updated
07/07/2025
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