Individual
DR. SAMANTHA J DAWALT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
637 MAIN ST, LUXEMBURG, WI 54217-1125
(920) 845-5645
(920) 845-5640
Mailing address
PO BOX 236, LUXEMBURG, WI 54217-0236
(920) 845-5654
(920) 845-5640
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5487-12
WI
Other
Enumeration date
11/21/2019
Last updated
12/04/2023
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