DR. Carissa Marie Jaecks, D.C.
NPI #1104133867 in New London, Wisconsin
Provider Information
- NPI Number
- 1104133867
- Entity Type
- Individual
- Name
- DR. Carissa Marie Jaecks, D.C.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Chiropractor
- Credential
- D.C.
- Enumeration Date
- Sep 1, 2010
- Last Updated
- Dec 1, 2017
Practice Location
- Address
- 1620 N SHAWANO ST
- Address 2
- STE E
- City
- New London
- State
- Wisconsin
- ZIP Code
- 54961-9318
- Phone
- (920) 982-5533
Specialties & Taxonomy Codes
| Specialty |
|---|
| Chiropractor |
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