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DR. CHARLES LEE NIEUWENHUIS D. C.

>> Chiropractor >> Chiropractic Providers

Registrant NPI Number: 1811998693

Individual Registrant:
DR. CHARLES LEE NIEUWENHUIS D. C.
Gender: M

Location and contact information for practice:
201 W. MAIN ST.  HORTONVILLE, WI 54944-0237 US
Tel: 920-779-4704  Fax: --

Contact information for business:
PO BOX 237  HORTONVILLE, WI 54944-0237 US
Tel: 920-779-6032  Fax: --

Registration Information:
NPI: 1811998693
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y111N00000XChiropractic Providers
Chiropractor
WI1977

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
WI CHIROPRACTIC LIC1977WI01




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