Individual
GAYLE ANN MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
952 SOUTH PARK AVENUE, FOND DU LAC, WI 54935
(920) 921-9100
(920) 929-0464
Mailing address
952 SOUTH PARK AVENUE, FOND DU LAC, WI 54935
(920) 921-9100
(920) 929-0464
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
WI1910
WI
Other
Enumeration date
09/16/2006
Last updated
07/08/2007
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