Organization
KIRCHMAN CHIROPRACTIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMANTHA DAWALT DC (DOCTOR OF CHIROPRACTIC/OWNER)
(920) 845-5654
Entity
Organization
Contact information
Practice address
637 MAIN ST, LUXEMBURG, WI 54217-1125
(920) 845-5654
(920) 845-5640
Mailing address
P.O. BOX 236, LUXEMBURG, WI 54217-1125
(920) 845-5654
(920) 845-5640
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2288
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100002334
—
WI
Enumeration date
12/01/2006
Last updated
06/25/2024
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