Individual
JAN W CECKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C
Contact information
Practice address
126 E MILL ST, PLYMOUTH, WI 53073-1704
(920) 892-8920
Mailing address
126 E MILL ST, PLYMOUTH, WI 53073-1704
(920) 892-8920
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2629-012
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38852600
—
WI
Enumeration date
09/20/2006
Last updated
05/12/2011
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