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Individual

ELIZABETH HUNTINGTON MATHIS HUEBL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.C.

Contact information

Practice address
1136 E RUSHOLME ST, DAVENPORT, IA 52803-2517
(563) 650-9882
Mailing address
1136 E RUSHOLME ST, DAVENPORT, IA 52803-2517
(563) 650-9882

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4727-012
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
38995100
WI
Enumeration date
01/31/2011
Last updated
03/14/2012
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