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Individual

DR. JACOB WILLIAM KORNETZKE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.C., M.S.

Contact information

Practice address
100 E COMMERCE BLVD, SLINGER, WI 53086-9748
(262) 644-8488
Mailing address
100 E COMMERCE BLVD, SLINGER, WI 53086-9748
(262) 644-8488

Taxonomy

Speciality
Code
Description
License number
State
111NN1001X
Nutrition Chiropractor
Primary
5279-12
WI

Other

Enumeration date
05/04/2017
Last updated
05/04/2017
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