Individual
MR. BRYAN J KLUSENDORF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
2505 E EVERGREEN DR, STE A, APPLETON, WI 54913-8910
(920) 735-0773
(920) 735-0293
Mailing address
2505 E EVERGREEN DR, STE A, APPLETON, WI 54913-8910
(920) 735-0773
(920) 735-0293
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1690
WI
Other
Enumeration date
08/01/2006
Last updated
06/27/2011
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