Individual
MR. TRAVIS J ANDERSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1624 CLARENCE CT, WEST BEND, WI 53095-8533
(262) 334-4847
(262) 334-5554
Mailing address
1624 CLARENCE CT, WEST BEND, WI 53095-8533
(262) 334-4847
(262) 334-5554
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3952012
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38946400
—
WI
Enumeration date
07/31/2006
Last updated
07/08/2007
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