Individual
TAMMI LYNN HAGENSICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
725 W MAIN ST, SUN PRAIRIE, WI 53590-2811
(608) 837-7600
(608) 837-0633
Mailing address
312 E NORTH ST, DEFOREST, WI 53532-1258
(608) 846-3337
(608) 846-7033
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5227-12
WI
Other
Enumeration date
11/18/2016
Last updated
11/18/2016
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