Alexander Anton Provost, D.C.

NPI #1306434337 in Shawano, Wisconsin

Provider Information

NPI Number
1306434337
Entity Type
Individual
Name
Alexander Anton Provost, D.C.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Chiropractor
Credential
D.C.
Enumeration Date
Jan 5, 2021
Last Updated
Jan 5, 2021

Practice Location

Address
W5675 COUNTY ROAD B
ZIP Code
54166-6901
Phone
(715) 526-6158

Specialties & Taxonomy Codes

Specialty
Chiropractor

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