Individual
DR. NATHAN JAMES OMICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
N58W39799 W HIGHWAY 16, OCONOMOWOC, WI 53066
(262) 567-4497
(262) 567-3716
Mailing address
PO BOX 221, OCONOMOWOC, WI 53066-0221
(262) 567-4497
(262) 567-3716
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4184
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38967300
—
WI
Enumeration date
10/18/2006
Last updated
07/08/2007
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