Jackson Detrick
NPI #1760946743 in Altoona, Wisconsin
Provider Information
- NPI Number
- 1760946743
- Entity Type
- Individual
- Name
- Jackson Detrick
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Chiropractor
- Enumeration Date
- Jan 24, 2019
- Last Updated
- Jan 24, 2019
Practice Location
Specialties & Taxonomy Codes
| Specialty |
|---|
| Chiropractor |
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