Individual
DR. ISAAC D. W. MANSUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
4516 52ND ST, KENOSHA, WI 53144-3828
(262) 925-9300
(262) 925-9300
Mailing address
4516 52ND ST, KENOSHA, WI 53144-3828
(262) 925-9300
(262) 925-9303
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5617-12
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100146487
—
WI
Enumeration date
12/14/2020
Last updated
09/10/2025
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