Individual
DR. CLARK D HELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1221 PHOENIX ST, DELAVAN, WI 53115-2340
(262) 728-8208
(262) 728-9818
Mailing address
1221 PHOENIX ST, DELAVAN, WI 53115-2340
(262) 728-8208
(262) 728-9818
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4069-012
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000535686
PTAN
WI
Enumeration date
04/09/2007
Last updated
12/07/2009
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