Individual
BRUCE CARL NORDHAGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
715 WEST MAIN STREET, BAKKE CHIROPRACTIC CLINIC SC, SUN PRAIRIE, WI 53590
(608) 837-7600
(608) 837-0633
Mailing address
715 WEST MAIN STREET, BAKKE CHIROPRACTIC CLINIC SC, SUN PRAIRIE, WI 53590
(608) 837-7600
(608) 837-0633
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1310012
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38826600
—
WI
Enumeration date
09/20/2006
Last updated
07/08/2007
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