Individual
ROBERT DESUTTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
701C N RAILROAD ST, EAGLE RIVER, WI 54521-8833
(715) 479-4214
(715) 479-4214
Mailing address
701C N RAILROAD ST, PO BOX 851, EAGLE RIVER, WI 54521-8833
(715) 479-4214
(715) 479-4214
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1641
WI
Other
Enumeration date
11/18/2005
Last updated
11/16/2010
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