Organization
DOUGLAS ROBERT SCHILDT, D.C., S.C.
Active
Other names
HealthSource of Fort Atkinson
Organization subpart
No
Provider details
NPI number
Authorized official
DOUGLAS ROBERT SCHILDT D.C. (PRESIDENT)
(920) 563-9360
Entity
Organization
Contact information
Practice address
1000 MADISON AVE, FORT ATKINSON, WI 53538-1326
(920) 563-9295
(920) 563-9360
Mailing address
1000 MADISON AVE, FORT ATKINSON, WI 53538-1326
(920) 563-9295
(920) 563-9360
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1452-12
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38757400
—
WI
Enumeration date
12/10/2010
Last updated
12/10/2010
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