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Individual

DR. DANE ERIC LAUGHLIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
1810 N 16TH ST, SUPERIOR, WI 54880-2550
(715) 394-5645
(715) 394-5645
Mailing address
1810 N 16TH ST, SUPERIOR, WI 54880-2550
(715) 394-5645
(715) 394-5645

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2592-012
WI
111NX0800X
Orthopedic Chiropractor
2592-012
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
38852700
WI
Enumeration date
10/16/2007
Last updated
10/16/2007
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