Individual
MRS. DEBBIE OLDENBURG
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
1235 PARK AVE, COLUMBUS, WI 53925-1612
(920) 623-2610
(920) 623-2504
Mailing address
1235 PARK AVE, PO 326, COLUMBUS, WI 53925-1612
(920) 623-2610
(920) 623-2504
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3009
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
391842730015
BCBS INS PROVIDER
WI
01
—
544551
DEANCARE INS PROVIDER
WI
Enumeration date
02/28/2006
Last updated
07/09/2007
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