Individual
DR. JO ELLEN MANVILLE
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
144 S WALNUT ST, REEDSBURG, WI 53959-1920
(608) 524-1757
Mailing address
144 S WALNUT ST, REEDSBURG, WI 53959-1920
(608) 524-1757
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3376 012
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
391882271011
BCBS
WI
Enumeration date
02/03/2006
Last updated
07/09/2007
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