Individual
MICHELLE M MADDEROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
761 US HIGHWAY 45 S, EAGLE RIVER, WI 54521-9110
(715) 479-8700
Mailing address
761 US HIGHWAY 45 S, EAGLE RIVER, WI 54521-9110
(715) 479-8700
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4753-12
WI
Other
Enumeration date
09/01/2011
Last updated
01/06/2012
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