Individual
DR. LEE CHARLES SCHWALENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2450 CROOKS AVE, KAUKAUNA, WI 54130-3914
(920) 462-0912
(920) 462-0914
Mailing address
2450 CROOKS AVE, KAUKAUNA, WI 54130-3914
(920) 462-0912
(920) 462-0914
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4159-012
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38963400
—
WI
Enumeration date
05/03/2007
Last updated
07/09/2007
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