Individual
BRYAN VARICHAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
1020 W WISCONSIN ST, SPARTA, WI 54656-2230
(608) 269-8145
(608) 269-8147
Mailing address
PO BOX 783, ONALASKA, WI 54650-0783
(608) 781-2225
(608) 781-2225
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2743-012
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38860300
—
WI
01
—
P00600198
MEDICARE RAILROAD
WI
Enumeration date
07/21/2006
Last updated
10/04/2011
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