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Individual

STEVEN ALAN BIRKETT

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
990 LINCOLN AVE, FENNIMORE, WI 53809-1742
(608) 822-3260
(608) 822-3261
Mailing address
990 LINCOLN AVE, PO BOX 68, FENNIMORE, WI 53809-1742
(608) 822-3260
(608) 822-3261

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3022-012
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00008888900
WI
Enumeration date
04/12/2006
Last updated
07/08/2007
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