Organization
BAUER CHIROPRACTIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHAYNE MICHAEL BAUER DC (OWNER)
(920) 923-3322
Entity
Organization
Contact information
Practice address
355 N PETERS AVE, FOND DU LAC, WI 54935-8258
(920) 923-3322
(920) 923-3322
Mailing address
355 N. PETERS AVE., PO BOX 1898, FOND DU LAC, WI 54935
(920) 923-3322
(920) 923-3322
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3462
WI
Other
Enumeration date
07/02/2006
Last updated
04/30/2009
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