Individual
DR. JONATHON MICHAEL STREBLOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
715 CHRISTEL DR, VALDERS, WI 54245
(920) 775-9666
(920) 775-9791
Mailing address
PO BOX 55, 715 CHRISTEL DR, VALDERS, WI 54245
(920) 775-9666
(920) 775-9791
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3440 012
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38944800
—
WI
Enumeration date
11/09/2006
Last updated
07/08/2007
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