| Donovan Chiropractic And Wellness Llc | |
|
976 E Johnson St Suite 900 Fond Du Lac WI 54935-9746 | |
| (920) 251-9650 | |
| Not Available |
| Full Name | Donovan Chiropractic And Wellness Llc |
|---|---|
| Speciality | Clinic/center |
| Location | 976 E Johnson St, Fond Du Lac, Wisconsin |
| Authorized Official Name and Position | Mark J Donovan (CHIROPRACTOR) |
| Authorized Official Contact | 9202519650 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Donovan Chiropractic And Wellness Llc 976 E Johnson St Suite 900 Fond Du Lac WI 54935-9746 Ph: () - | Donovan Chiropractic And Wellness Llc 976 E Johnson St Suite 900 Fond Du Lac WI 54935-9746 Ph: (920) 251-9650 |
| NPI Number | 1871732529 |
|---|---|
| Provider Enumeration Date | 02/19/2009 |
| Last Update Date | 02/19/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871732529 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 4476-12 (Wisconsin) | Primary |
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