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Individual

AMY ERIN ANDERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DC

Contact information

Practice address
312 EAST NORTH STREET, BAKKE CHIROPRACTIC CLINIC SC, DEFOREST, WI 53532
(608) 846-3333
(608) 846-7033
Mailing address
312 EAST NORTH STREET, BAKKE CHIROPRACTIC CLINIC SC, DEFOREST, WI 53532
(608) 846-3333
(608) 846-7033

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3408012
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
38957900
WI
Enumeration date
09/20/2006
Last updated
07/08/2007
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