Individual
MARK PETER EMMERICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
6506 NORMANDY LANE, MADISON, WI 53719
(608) 833-2333
(608) 826-0996
Mailing address
6506 NORMANDY LANE, MADISON, WI 53719
(608) 833-2333
(608) 826-0996
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3167012
WI
Other
Enumeration date
07/15/2006
Last updated
07/08/2007
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