Individual
ERIC JAMES LIAZUK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1840 POST RD, # 6, PLOVER, WI 54467-2832
(715) 342-4027
(715) 342-4430
Mailing address
1840 POST RD, STE 6, PLOVER, WI 54467-2832
(715) 342-4027
(715) 342-4430
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4181-012
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
115599
SECURITY HEALTH PLAN
—
05
—
38965500
—
WI
01
—
38994000
MEDICAID GROUP
WI
Enumeration date
06/03/2006
Last updated
10/30/2017
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