Individual
DR. JACK ANTHONY MANZELLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1505 COMMERCIAL ST., BANGOR FAMILY CHIROPRACTIC, BANGOR, WI 54614
(608) 486-4899
(608) 486-4661
Mailing address
22993 CTY. RD. Y, JACK A. MANZELLA, D.C., ROCKLAND, WI 54653
(608) 486-4445
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2555-012
WI
Other
Enumeration date
03/05/2007
Last updated
07/08/2007
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