Individual
CONNON LEE PIENCIKOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1700 SAND ACRES DR STE 2A, DE PERE, WI 54115-7562
(920) 591-0141
(888) 267-0230
Mailing address
1700 SAND ACRES DR STE 2A, DE PERE, WI 54115-7562
(920) 591-0141
(888) 267-0230
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4214-012
WI
2255A2300X
Athletic Trainer
742-039
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4214-012
LICENSE NUMBER
WI
Enumeration date
04/19/2006
Last updated
06/11/2020
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