Individual
DR. SHALOM SAMUEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.C
Contact information
Practice address
2810 CROSSROADS DR STE 4000, MADISON, WI 53718-8014
(608) 616-4606
Mailing address
1059 PROVIDENCE CMN, SUN PRAIRIE, WI 53590-4586
(608) 886-8568
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5352-12
WI
111N00000X
Chiropractor
8352
AZ
Other
Enumeration date
11/02/2013
Last updated
09/24/2021
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