Individual
DR. SHANE MICHAEL HUYSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
50618 CHARLES ST, OSSEO, WI 54758-7508
(715) 530-4080
Mailing address
PO BOX 321, OSSEO, WI 54758-0321
(616) 218-7723
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5478-12
WI
Other
Enumeration date
09/24/2019
Last updated
10/03/2019
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