DR. Travis Lee Stanford, D.C.

NPI #1942209812 in Siren, Wisconsin

Provider Information

NPI Number: 1942209812
Entity Type: Individual
Name: DR. Travis Lee Stanford, D.C.
Gender: Not Specified
Sole Proprietor: Not Answered
Primary Specialty: Chiropractor
Credential: D.C.
Enumeration Date: Jul 21, 2005
Last Updated: Jul 8, 2007

Practice Location

Address: 24128 STATE ROAD 35
City: Siren
State: Wisconsin
ZIP Code: 54872-8006
Phone: (715) 349-2770

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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