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Individual

DR. DAWN VANDECASTLE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
D.C.

Contact information

Practice address
77 W JOHN STREET, MARKESAN, WI 53946
(920) 398-1999
Mailing address
PO BOX 2, MARKESAN, WI 53946-0002
(920) 398-1999
(920) 398-1999

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3430
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
3430
LICENSE NUMBER
WI
Enumeration date
02/07/2007
Last updated
07/08/2007
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