Individual
DR. SANDRA CARMEN CANON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
131 E MAIN ST, MARSHALL, WI 53559-9377
(608) 655-4164
(608) 655-4386
Mailing address
131 E MAIN ST, P.O. BOX 196, MARSHALL, WI 53559-9377
(608) 655-4164
(608) 655-4386
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3185
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38996300
—
WI
Enumeration date
07/05/2006
Last updated
10/21/2011
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