Individual
TIMOTHY J RASMUSSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1407 RACINE ST, SUITE D, DELAVAN, WI 53115
(262) 374-2689
Mailing address
PO BOX 352, DELAVAN, WI 53115-0352
(262) 374-2689
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2860-012
WI
Other
Enumeration date
09/13/2007
Last updated
09/13/2007
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