Organization
FISHER FAMILY CHIROPRACTIC, S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT THEODORE FISHER JR. D.C. (PRESIDENT)
(906) 869-6401
Entity
Organization
Contact information
Practice address
1240 W RANCHITO LN, MEQUON, WI 53092-6089
(262) 240-9946
(262) 240-9947
Mailing address
1240 W RANCHITO LN, MEQUON, WI 53092-6089
(262) 240-9946
(262) 240-9947
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4590
WI
Other
Enumeration date
05/09/2012
Last updated
05/09/2012
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