Most Relevant Information
Provider Data
NPI Number: | 1003032731 |
Provider Name: | EUGENE DALE MARTIN D.C. |
Entity Type: | Individual |
Taxonomy Code: | 111N00000X |
Specialty: | Chiropractor |
License Number: | 2129 |
Most Important Dates
Enumeration Date: | 04/18/2007 |
Last Updated: | 07/09/2007 |
Provider Practice Location
134 S MAIN ST
GREENWOOD
WI
544370214
Practice Location Phone/Fax
Phone: | 7152677890 |
Fax: |
Provider Mailing Location
W3734 ROCK CREEK RD
LOYAL
WI
54446
Provider Mailing Phone/Fax
Phone: | 7152677890 |
Fax: |