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Individual

DR. SCOTT THOMAS SUPRENAND

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
103 S PIONEER RD STE 200, FOND DU LAC, WI 54935-3800
(920) 872-2969
(920) 933-2511
Mailing address
103 S PIONEER RD STE 200, FOND DU LAC, WI 54935-3800
(920) 872-2969
(920) 933-2511

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4745-12
WI

Other

Enumeration date
03/30/2011
Last updated
12/28/2021
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