Individual
ALEXANDER MANZELLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1505 COMMERCIAL ST, BANGOR, WI 54614-8778
(608) 486-4899
(608) 486-4661
Mailing address
1505 COMMERCIAL ST, P.O. BOX 410, BANGOR, WI 54614-8778
(608) 486-4899
(608) 486-4661
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5046-12
WI
Other
Enumeration date
10/29/2014
Last updated
10/29/2014
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