Individual
COOPER MOCARSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1517 S 12TH ST, SHEBOYGAN, WI 53081-5243
(920) 459-8477
Mailing address
1517 S 12TH ST, SHEBOYGAN, WI 53081-5243
(920) 459-8477
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5779
WI
Other
Enumeration date
03/10/2022
Last updated
07/05/2023
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