Shane M Mathison, DC

NPI #1184720286 in Cadott, Wisconsin

Provider Information

NPI Number: 1184720286
Entity Type: Individual
Name: Shane M Mathison, DC
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Chiropractor
Credential: DC
Enumeration Date: Sep 15, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 326 N. MAIN ST
City: Cadott
State: Wisconsin
ZIP Code: 54727
Phone: (715) 252-8521

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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