Individual
LEAH EILEEN VANDENBOSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
W6177 NEUBERT RD, APPLETON, WI 54913-7988
(920) 757-1600
Mailing address
W6177 NEUBERT RD, APPLETON, WI 54913-7988
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5691-12
WI
Other
Enumeration date
11/10/2021
Last updated
11/10/2021
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