NPI 1003257254

Jordan Mark Kluewer, DC

Practitioner Chiropractor Hustisford, WI

Practice location

Address: 139 North Lake Street, Hustisford, WI 53034
Phone: (920) 349-3233
Mailing address: PO Box 325 139 N Lake St, Hustisford, WI 53034

Registered specialties

Chiropractor Primary

Chiropractic Providers Taxonomy 111N00000X Licence 4936-12 (WI)

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Registry record

NPI: 1003257254
Entity type: Individual
Sex (as registered): Male
NPI issued: 16 Jul 2013
Record last updated: 16 Jul 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.