Organization
SUN PRAIRIE LASER PAIN CENTER
Active
Organization
SUN PRAIRIE LASER PAIN CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEVIN TODD SIMONS DC (OWNER)
(920) 860-6426
Entity
Organization
Contact information
Practice address
414 W MAIN ST STE B, SUN PRAIRIE, WI 53590-2912
(920) 860-6426
Mailing address
830 20TH ST APT 1, PRAIRIE DU SAC, WI 53578-2102
(920) 860-6426
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
02/02/2023
Last updated
02/02/2023
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