Individual
BRANDON KOXLIEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
322 W 1ST ST, BLAIR, WI 54616-8927
(608) 386-9441
Mailing address
322 W 1ST ST, BLAIR, WI 54616-8927
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5053-12
WI
Other
Enumeration date
12/02/2014
Last updated
12/02/2014
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