Individual
CARRIE L VANWINKLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
132 N EMERY AVE, PESHTIGO, WI 54157-1214
(715) 582-4098
Mailing address
132 N EMERY AVE, PESHTIGO, WI 54157-1214
(715) 582-4098
(715) 582-4097
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3893-012
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
145186845
—
MI
01
—
350057077
RAILROAD MEDICARE
WI
05
—
38945300
—
WI
01
—
38998100
MEDICAID GROUP
WI
01
—
CB3715
RAILROAD MEDICARE GROUP
WI
Enumeration date
09/20/2006
Last updated
02/17/2021
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