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DR. ERIC RICHARD CLAUSEN DC

>> Chiropractor >> Chiropractic Providers

Registrant NPI Number: 1215037692

Individual Registrant:
DR. ERIC RICHARD CLAUSEN DC
Gender: M
Not Sole Proprietor

Location and contact information for practice:
223 NORTH PINE ST PO BOX 187 HORTONVILLE, WI 54944 US
Tel: 920-779-3300  Fax: 920-779-3301

Contact information for business:
223 N. PINE ST PO BOX 187 HORTONVILLE, WI 54944-9140 US
Tel: 920-779-3300  Fax: 920-779-3301

Registration Information:
NPI: 1215037692
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N111N00000XChiropractic Providers
Chiropractor
WI3935-12
Y111N00000XChiropractic Providers
Chiropractor
WI3935

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
38964700WI05




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