Individual
DR. ANTONIO LOPEZ JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
N110 BRUX RD, APPLETON, WI 54915-9439
(920) 968-0464
Mailing address
N110 BRUX RD, APPLETON, WI 54915-9439
(920) 968-0464
(920) 968-0482
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
6275-12
WI
Other
Enumeration date
12/28/2023
Last updated
09/10/2025
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