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Individual

TANYA J VANASSE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
D.C.

Contact information

Practice address
1227 MENOMONIE ST STE A, EAU CLAIRE, WI 54703-5996
(715) 839-9999
(715) 839-9978
Mailing address
1227 MENOMONIE ST STE A, EAU CLAIRE, WI 54703-5996
(715) 839-9999
(715) 839-9978

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3856-012
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
043732396010
BLUE CROSS
WI
Enumeration date
07/26/2005
Last updated
07/08/2007
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