Carli Marie Vangoethem, DC

NPI #1306583687 in Kewaunee, Wisconsin

Provider Information

NPI Number: 1306583687
Entity Type: Individual
Name: Carli Marie Vangoethem, DC
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Chiropractor
Credential: DC
Enumeration Date: May 17, 2022
Last Updated: Mar 15, 2023

Practice Location

Address: 402 ELLIS ST
City: Kewaunee
State: Wisconsin
ZIP Code: 54216-1329
Phone: (920) 388-4499

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary
Chiropractor - Nutrition — Nutrition	111NN1001X
Chiropractor - Radiology — Radiology	111NR0200X

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