Individual
ERIC J GONSTEAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
3535 CLINIC ROAD, BELOIT, WI 53511
(608) 365-1656
(608) 365-2250
Mailing address
3535 CLINIC ROAD, BELOIT, WI 53511
(608) 365-1656
(608) 365-2250
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3039
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38875200
—
WI
Enumeration date
12/06/2006
Last updated
10/29/2010
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