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NPI Code Detail

MEDICARE: DR. ANNETTE STOCKWELL D.C,

MEDICARE: DR. ANNETTE STOCKWELL D.C,
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
1111N00000XChiropractor079081IA

General Provider Information

NPI Number : 1487022687
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ANNETTE STOCKWELL D.C,
Provider Business Mailing Address
First Line : 202 MAIN ST
Second Line :
City : SAVANNA
State : IL
Zip : 61074-1628
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 202 MAIN ST
Second Line :
City : SAVANNA
State : IL
Zip : 61074-1628
Country : US
Telephone Number : 815-273-4737
Fax Number : 563-242-9330
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/04/2015
Last Update Date : 08/15/2023

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Directions to “ DR. ANNETTE STOCKWELL D.C,” Practice Location

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