Individual
DR. JOHN E CHURCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
1515 MOUNT ZION AVE, JANESVILLE, WI 53545-1111
(608) 754-6111
(608) 743-2537
Mailing address
1515 MOUNT ZION AVE, JANESVILLE, WI 53545-1111
(608) 754-6111
(608) 743-2537
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1444012
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38755700
—
WI
Enumeration date
12/30/2005
Last updated
08/11/2010
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