Individual
MADISON JUMPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
235 N 18TH AVE, WEST BEND, WI 53095-3059
(262) 334-4070
Mailing address
235 N 18TH AVE, WEST BEND, WI 53095-3059
(262) 334-4070
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
6263-12
WI
Other
Enumeration date
12/18/2024
Last updated
12/18/2024
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