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Individual

RENEE MARIE MAIGATTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.C.

Contact information

Practice address
1314 MEMORIAL DR, SUITE A, MANITOWOC, WI 54220-6700
(920) 652-9887
Mailing address
1314 MEMORIAL DR, SUITE A, MANITOWOC, WI 54220-6700
(920) 652-9887

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4496
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1275767451
WI
Enumeration date
05/04/2009
Last updated
02/01/2019
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