Individual
CARTER CROTTEAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
407 W KNAPP ST, RICE LAKE, WI 54868-1546
(715) 234-3808
(715) 234-3809
Mailing address
407 W KNAPP ST, RICE LAKE, WI 54868-1546
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4930-12
WI
Other
Enumeration date
10/16/2013
Last updated
10/21/2013
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