Individual
MARK JAMES VANDECASTLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
140 N. TOWNLINE RD, WAUTOMA, WI 54982-0246
(920) 787-0122
(920) 787-0091
Mailing address
140 N. TOWNLINE RD, PO BOX 246, WAUTOMA, WI 54982-0246
(920) 787-0122
(920) 787-0091
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3211-012
WI
Other
Enumeration date
03/29/2007
Last updated
06/16/2025
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