Individual
CHERYL CERNAK FOLSTAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
1100 KILBOURN AVE, TOMAH, WI 54660-2630
(608) 372-2747
(608) 372-3100
Mailing address
1100 KILBOURN AVE, TOMAH, WI 54660-2630
(608) 343-5025
(608) 372-3100
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1875-012
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
391513385
FEDERAL TAX ID
WI
Enumeration date
11/30/2006
Last updated
05/09/2016
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