Individual
DR. RICHARD STANLEY CHISICK JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
433 W WATER ST, PRINCETON, WI 54968-9148
(920) 295-6741
(920) 295-6742
Mailing address
PO BOX 312, PRINCETON, WI 54968-0312
(920) 295-6741
(920) 295-6742
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3222-012
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12400290
WPPN
WI
05
—
38888800
—
WI
Enumeration date
09/28/2006
Last updated
07/09/2007
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