Individual
DR. BONITA R MYHERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
13818 7TH ST, OSSEO, WI 54758-7402
(715) 597-3388
(715) 597-2688
Mailing address
PO BOX 336, OSSEO, WI 54758-0336
(715) 597-3388
(715) 597-2688
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3101-012
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38891100
—
WI
Enumeration date
09/26/2006
Last updated
07/08/2007
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