Individual
DR. BRENT R MCNABB
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
2205 N SHERMAN AVE, MADISON, WI 53704-3310
(608) 244-0044
Mailing address
2205 N SHERMAN AVE, MADISON, WI 53704-3310
(608) 244-0044
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1579
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38767300
—
WI
01
—
391545009014
BCBS
WI
Enumeration date
02/06/2006
Last updated
07/09/2007
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