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Individual

JOSEPH J ANTONIE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
16812 S 2ND ST, STE 120, GALESVILLE, WI 54630-7295
(608) 582-4612
Mailing address
601 S 32ND AVE, WAUSAU, WI 54401-3958
(715) 848-2526

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3388-012
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
38902100
WI
Enumeration date
09/15/2006
Last updated
10/17/2007
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