Organization
SCHUPP CHIROPRACTIC AND SPORTS INJURIES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW CHARLES SCHUPP DC (OWNER)
(906) 399-1362
Entity
Organization
Contact information
Practice address
2110 FORDEM AVE, MADISON, WI 53704-4610
(608) 244-7447
Mailing address
2110 FORDEM AVE, MADISON, WI 53704-4610
(608) 244-7447
Taxonomy
Speciality
Code
Description
License number
State
111NX0800X
Orthopedic Chiropractor
Primary
4908-12
WI
Other
Enumeration date
01/07/2013
Last updated
01/07/2013
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