Organization
DALE R. ALT, D.C., S.C.
Active
Other names
Alt Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DALE RAYMOND ALT DC (OWNER)
(920) 887-3717
Entity
Organization
Contact information
Practice address
127 PARK AVE, BEAVER DAM, WI 53916-2107
(920) 887-3717
(920) 887-0220
Mailing address
127 PARK AVE, BEAVER DAM, WI 53916-2107
(920) 887-3717
(920) 887-0220
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2007-012
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38833700
—
WI
Enumeration date
11/27/2006
Last updated
03/23/2012
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