Individual
LEO J BRONSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
1202 COUNTY RD PH, SUITE 100, ONALASKA, WI 54650
(608) 781-2225
(608) 781-6425
Mailing address
PO BOX 783, ONALASKA, WI 54650-0783
(608) 781-2225
(608) 781-6425
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1491-012
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
350022982
RAILROAD MEDICARE
WI
05
—
38766900
—
WI
Enumeration date
07/18/2006
Last updated
11/28/2011
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