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Individual

MRS. JUDY F ELLEFSON PEIL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
842 N WESTHILL BLVD, APPLETON, WI 54914-5788
(920) 574-3622
(920) 574-3661
Mailing address
842 N WESTHILL BLVD, APPLETON, WI 54914-5788
(920) 574-3622
(920) 574-3661

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2122-012
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
38795500
WI
Enumeration date
09/12/2005
Last updated
03/03/2016
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