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Individual

DR. KALISTA A SAWYER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.C.

Contact information

Practice address
652 W RIDGEVIEW DR, APPLETON, WI 54911-1254
(920) 710-1811
Mailing address
960 STUART CT, NEENAH, WI 54956-5155
(920) 710-1811

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4819-12
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100020115
WI
Enumeration date
12/20/2011
Last updated
12/19/2018
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