Individual
DR. KURTIS JAMES SIEMSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
820 GENEVA PKWY N STE 105, LAKE GENEVA, WI 53147-4562
(262) 248-6700
Mailing address
1 MADISON ST, NEW BUFFALO, MI 49117
(269) 469-1310
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301401215
MI
111N00000X
Chiropractor
5621-12
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1154510519
EXCEL FAMILY CHIROPRACTIC
WI
05
—
1154510519
—
WI
Enumeration date
03/22/2021
Last updated
01/28/2022
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