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NPI Code Detail

MEDICARE: DR. COLE STEVEN SEGERSTROM DC

MEDICARE: DR. COLE STEVEN SEGERSTROM DC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111N00000XChiropractor4744-12WI

General Provider Information

NPI Number : 1336438340
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. COLE STEVEN SEGERSTROM DC
Provider Business Mailing Address
First Line : 3814 OAKWOOD HILLS PKWY
Second Line :
City : EAU CLAIRE
State : WI
Zip : 54701-7757
Country : US
Telephone Number : 715-833-8777
Fax Number : 715-833-8774
Provider Business Practice Location Address
First Line : 3814 OAKWOOD HILLS PKWY
Second Line :
City : EAU CLAIRE
State : WI
Zip : 54701-7757
Country : US
Telephone Number : 715-833-8777
Fax Number : 715-833-8774
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/30/2011
Last Update Date : 06/20/2011

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Directions to “ DR. COLE STEVEN SEGERSTROM DC” Practice Location

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