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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