Individual
DENNIS EUGENE SEVERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
154 W LINCOLN ST, SUITE 2, AUGUSTA, WI 54722-9152
(715) 225-1055
(715) 286-5210
Mailing address
154 W LINCOLN ST, P.O. BOX 154, AUGUSTA, WI 54722-9152
(715) 225-1055
(715) 286-5210
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2024
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38790300
—
WI
01
—
391535721014
MY BC/BS
WI
Enumeration date
10/02/2006
Last updated
11/02/2009
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