Individual
DR. JORDAN LEE STITTLEBURG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
1021 BERRY AVE, TOMAH, WI 54660-3400
(608) 372-5900
Mailing address
315 N 9TH ST, BLACK RIVER FALLS, WI 54615-1138
(517) 398-5600
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5207-12
WI
111N00000X
Chiropractor
CHI-CHI-LIC-5022
MT
Other
Enumeration date
12/10/2019
Last updated
12/19/2023
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