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131 E Main St, Marshall, WI 53559-9377 | |
(608) 655-4164 | |
Not Available |
Full Name | |
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Type | Facility |
Speciality | Chiropractor |
Location | 131 E Main St, Marshall, Wisconsin |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1982734265 | NPI | - | NPPES |
38996300 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 3185 (Wisconsin) | Primary |
Mailing Address | Practice Location Address |
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131 E Main St, Marshall, WI 53559-9377 Ph: (608) 655-4164 | 131 E Main St, Marshall, WI 53559-9377 Ph: (608) 655-4164 |
Dr. Sandra Carmen Canon, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 131 E Main St, Marshall, WI 53559 Phone: 608-655-4164 Fax: 608-655-4386 |