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Individual

DR. TRAVIS LEE STANFORD

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
24128 STATE ROAD 35, SIREN, WI 54872-8006
(715) 349-2770
(715) 349-8799
Mailing address
24128 STATE ROAD 35, PO BOX 31, SIREN, WI 54872-8006
(715) 349-2770
(715) 349-8799

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3347-012
WI

Other

Enumeration date
07/21/2005
Last updated
07/08/2007
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