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Individual

SPENCER L WOODWARD

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
820 GEORGE ST, DE PERE, WI 54115-2916
(920) 336-2921
(920) 336-8229
Mailing address
820 GEORGE ST, DE PERE, WI 54115-2916
(920) 336-2921
(920) 336-8229

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1347012
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
38829500
WI
Enumeration date
09/21/2005
Last updated
07/08/2007
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