DR. Daniel John Thibodeau, D.C.

NPI #1730190109 in Appleton, Wisconsin

Provider Information

NPI Number: 1730190109
Entity Type: Individual
Name: DR. Daniel John Thibodeau, D.C.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Chiropractor
Credential: D.C.
Enumeration Date: Aug 11, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 1221 E NORTHLAND AVE
City: Appleton
State: Wisconsin
ZIP Code: 54911-8415
Phone: (920) 954-1002

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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