Individual
CHARLES MELVIN JANOVICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
5919 TOWER AVE, SUPERIOR, WI 54880-7226
(715) 398-8803
(715) 398-8804
Mailing address
5919 TOWER AVE, SUPERIOR, WI 54880-7226
(715) 398-8803
(715) 398-8804
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2851-012
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
013R4JA
BCBS
WI
01
—
2851-012
STATE LICENSE
WI
05
—
38866100
—
WI
Enumeration date
11/23/2007
Last updated
11/23/2007
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