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Organization

SEYMOUR CHIROPRACTIC SC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
WADE DAVID SKOGMAN (PRESIDENT)
(920) 833-7844
Entity
Organization

Contact information

Practice address
126 S MAIN ST, SEYMOUR, WI 54165-1475
(920) 833-7844
(920) 833-7946
Mailing address
126 S MAIN ST, SEYMOUR, WI 54165-1475

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3140
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
38882400
WI
Enumeration date
11/07/2006
Last updated
08/22/2020
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