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Individual

BRIAN CARL HURTGEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
235 W PRAIRIE VIEW RD, SUITE 2, CHIPPEWA FALLS, WI 54729-3639
(715) 720-9097
(715) 720-6089
Mailing address
3324 HOOVER AVE, ALTOONA, WI 54720-1028
(715) 836-7648
(715) 720-6089

Taxonomy

Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
1667-012
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
38768500
WI
Enumeration date
10/18/2006
Last updated
07/08/2007
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