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Individual

MR. DEAN ALLEN WILLHITE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
3713 CALUMET AVENUE, MANITOWOC, WI 54220-5433
(920) 682-6680
(920) 682-6983
Mailing address
3713 CALUMET AVENUE, MANITOWOC, WI 54220-5433
(920) 682-6680
(920) 682-6983

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2747
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
35574
MEDICARE ID
05
38863600
WI
Enumeration date
07/09/2006
Last updated
01/10/2013
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