Individual
ALEC DAVID VAN DRISSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
502 GEORGE ST, DE PERE, WI 54115-2772
(920) 337-0103
Mailing address
502 GEORGE ST, DE PERE, WI 54115-2772
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
6028-12
WI
Other
Enumeration date
11/08/2022
Last updated
11/08/2022
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