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Individual

ERIC MONTIE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
105 BAKER ST, STE 1, WAUNAKEE, WI 53597-1111
(608) 393-4596
Mailing address
105 BAKER ST, STE 1, WAUNAKEE, WI 53597-1111
(608) 393-4596

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5165
WI

Other

Enumeration date
02/23/2016
Last updated
02/23/2016
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