Individual
DR. NICHOLAS JOHN KAMPFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
6211 DURAND AVE, SUITE 100, MOUNT PLEASANT, WI 53406-4956
(262) 868-9000
Mailing address
W6341 AURORA RD, PLYMOUTH, WI 53073-3911
(920) 912-4618
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5067 - 12
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100042398
—
WI
Enumeration date
01/13/2015
Last updated
06/01/2016
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