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CARTER CROTTEAU

>> Chiropractor >> Chiropractic Providers

Registrant NPI Number: 1952739591

Individual Registrant:
 CARTER  CROTTEAU 
Gender: M
Not Sole Proprietor

Location and contact information for practice:
407 W KNAPP ST  RICE LAKE, WI 54868-1546 US
Tel: 715-234-3808  Fax: 715-234-3809

Contact information for business:
407 W KNAPP ST  RICE LAKE, WI 54868-1546 US
Tel: --  Fax: --

Registration Information:
NPI: 1952739591
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y111N00000XChiropractic Providers
Chiropractor
WI4930-12

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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