Organization
THIBODEAU CHIROPRACTIC, SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL JOHN THIBODEAU DC (OWNER)
(920) 954-1002
Entity
Organization
Contact information
Practice address
1221 E NORTHLAND AVE, APPLETON, WI 54911-8415
(920) 954-1002
(920) 954-1006
Mailing address
1221 E NORTHLAND AVE, APPLETON, WI 54911-8415
(920) 954-1002
(920) 954-1006
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2614
WI
Other
Enumeration date
12/15/2007
Last updated
12/15/2007
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