Organization
STAUDENMAIER CHIROPRACTIC WELLNESS CENTER, S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LUKE ERIC STAUDENMAIER D.C. (PRESIDENT)
(920) 743-7255
Entity
Organization
Contact information
Practice address
30 N 18TH AVE, STURGEON BAY, WI 54235-3207
(920) 743-7255
(920) 743-7256
Mailing address
30 N 18TH AVE, STURGEON BAY, WI 54235-3207
(920) 743-7255
(920) 743-7256
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3209-012
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3209-012
STATE LICENSE NUMBER
WI
Enumeration date
03/07/2007
Last updated
08/31/2011
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