Individual
DR. MIRANDA ABBOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2561 E CALUMET ST, APPLETON, WI 54915-4748
(920) 243-7140
(877) 346-6682
Mailing address
2561 E CALUMET ST, APPLETON, WI 54915-4748
(920) 243-7140
(877) 346-6682
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4759-012
WI
Other
Enumeration date
07/26/2011
Last updated
07/26/2011
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