Individual
DR. NICOLE DUCHARME
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
4866 CARYA RD, BLACK EARTH, WI 53515-9508
(608) 513-3530
Mailing address
4866 CARYA RD, BLACK EARTH, WI 53515-9508
(608) 513-3530
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3403
MA
111N00000X
Chiropractor
4913-12
WI
Other
Enumeration date
01/21/2013
Last updated
01/21/2013
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