Individual
COLTAN FENSKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
1207 W KNAPP ST, RICE LAKE, WI 54868-1307
(715) 475-1700
Mailing address
2115 16TH ST, RICE LAKE, WI 54868-9590
(715) 651-8539
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
6312-12
WI
Other
Enumeration date
07/02/2025
Last updated
07/02/2025
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