Individual
MACKENZIE MARIE CUNNINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
188 E MAIN ST, BENTON, WI 53803-9711
(608) 759-6152
Mailing address
188 E MAIN ST, BENTON, WI 53803-9711
(608) 759-6152
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5398-12
WI
Other
Enumeration date
10/23/2018
Last updated
10/23/2018
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