Organization
DOUGLAS & MORK CHIROPRACTIC S C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN P WAGENER D.C. (PRESIDENT)
(608) 754-3192
Entity
Organization
Contact information
Practice address
409 E MILWAUKEE ST, JANESVILLE, WI 53545
(608) 754-3192
(608) 754-3256
Mailing address
409 E MILWAUKEE ST, JANESVILLE, WI 53545
(608) 754-3192
(608) 754-3256
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
WI
Other
Enumeration date
12/12/2006
Last updated
11/14/2014
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