Individual
DR. THOMAS MYRON KINTOP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
2425 TOWER AVE, SUPERIOR, WI 54880-4841
(715) 392-3352
Mailing address
2425 TOWER AVE, SUPERIOR, WI 54880-4841
(715) 392-3352
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2720
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38865800
—
WI
Enumeration date
02/09/2007
Last updated
09/15/2008
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