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Individual

DR. THOMAS DEE HOVER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
1801 WEST KNAPP STREET, SUITE 1, RICE LAKE, WI 54868-1381
(715) 234-3067
(715) 736-0960
Mailing address
1801 WEST KNAPP STREET, SUITE 1, RICE LAKE, WI 54868-1381
(715) 234-3067
(715) 736-0960

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1548
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
38762000
WI
01
391367657
FEDERAL EMPLOYER ID
Enumeration date
03/06/2007
Last updated
09/03/2010
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