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Individual

ANDREW CHARLES SCHUPP

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C

Contact information

Practice address
2110 FORDEM AVE, MADISON, WI 53704-4610
(608) 244-7447
(608) 244-0131
Mailing address
2110 FORDEM AVE., MADISON, WI 53704
(608) 244-7447
(608) 244-0131

Taxonomy

Speciality
Code
Description
License number
State
111NX0800X
Orthopedic Chiropractor
Primary
4908-12
WI

Other

Enumeration date
12/19/2012
Last updated
12/19/2012
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