Mac Kozaczuk, DC Valid NPI
Individual provider · Chiropractor · Big Bend, WI
- NPI
- 1306608294
- Type
- Individual (Type 1)
- Primary specialty
- Chiropractor
- Specialty group
- Chiropractic Providers
- Taxonomy code
- 111N00000X
- License number
- 6159-12 (WI)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2024-01-25
- Last updated
- 2024-01-25
Practice location
S71w23325 National Ave Ste 5
Big Bend, WI 53103-9495
(262) 662-9775