Individual
MALARIE J MONTIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C
Contact information
Practice address
550 W MAPLE ST # 201, BARABOO, WI 53913-1166
(608) 393-8169
Mailing address
E10838 DEER RUN RD, BARABOO, WI 53913-9766
(608) 393-8169
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5180-12
WI
Other
Enumeration date
03/31/2016
Last updated
03/31/2016
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