Organization
DONOVAN CHIROPRACTIC AND WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK J DONOVAN D.C. (CHIROPRACTOR)
(920) 251-9650
Entity
Organization
Contact information
Practice address
976 E JOHNSON ST, SUITE 900, FOND DU LAC, WI 54935-9746
(920) 251-9650
Mailing address
976 E JOHNSON ST, SUITE 900, FOND DU LAC, WI 54935-9746
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
4476-12
WI
Other
Enumeration date
02/19/2009
Last updated
02/19/2009
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