Individual
DR. SAMUEL JOHN EDWARD MCGINNIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
11 N 6TH AVE, WINNECONNE, WI 54986-9705
(920) 850-5448
Mailing address
11 N 6TH AVE, WINNECONNE, WI 54986-9705
(920) 582-4364
(920) 582-4004
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5441-12
WI
Other
Enumeration date
03/08/2019
Last updated
03/08/2019
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