Individual
JASON C KINDSCHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
204 W COTTAGE GROVE RD, COTTAGE GROVE, WI 53527-9211
(608) 839-1172
(608) 839-1174
Mailing address
204 W COTTAGE GROVE RD, COTTAGE GROVE, WI 53527-9211
(608) 839-1172
(608) 839-1174
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4099
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38959000
—
WI
Enumeration date
08/17/2005
Last updated
06/27/2008
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