Organization
SELL CHIROPRACTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT DAVID SELL DC (PRESIDENT OWNER)
(920) 596-2592
Entity
Organization
Contact information
Practice address
312 SOUTH BRIDGE ST, MANAWA, WI 54949
(920) 596-2592
(920) 779-0444
Mailing address
PO BOX 146, MANAWA, WI 54949
(920) 596-2592
(920) 779-0444
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38892000
—
WI
Enumeration date
08/31/2006
Last updated
08/17/2010
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