Individual
JONATHAN P CODY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
421 WATER ST, SUITE 101, PRAIRIE DU SAC, WI 53578-2108
(608) 643-5060
(608) 643-5080
Mailing address
421 WATER ST, SUITE 101, PRAIRIE DU SAC, WI 53578-2108
(608) 643-5060
(608) 643-5080
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4031-012
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38954600
—
WI
Enumeration date
04/19/2007
Last updated
07/08/2007
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