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Individual

AMY KAY BREIDENBACH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DC DICCP

Contact information

Practice address
N5498 ST RD 35, ONALASKA, WI 54650
(608) 779-5323
(608) 779-5328
Mailing address
N5498 ST RD 35, ONALASKA, WI 54650
(608) 779-5323
(608) 779-5328

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3732012
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
38930000
WI
Enumeration date
09/26/2006
Last updated
07/08/2007
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