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Individual

DR. DAVID THOMAS JURGENSEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
114 W STATE ST, MAUSTON, WI 53948-1354
(608) 847-6194
(608) 847-4374
Mailing address
114 W STATE ST, MAUSTON, WI 53948-1354
(608) 847-6194
(608) 847-4374

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2500-012
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
38844600
WI
Enumeration date
03/01/2007
Last updated
07/08/2007
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