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NPI Code Detail

MEDICARE: MRS. ERICA JEAN KNURR DC

MEDICARE: MRS. ERICA JEAN KNURR 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
1111N00000XChiropractor4596-012WI

General Provider Information

NPI Number : 1649595935
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. ERICA JEAN KNURR DC
Provider Business Mailing Address
First Line : 435 RIVERCREST CT
Second Line :
City : MUKWONAGO
State : WI
Zip : 53149-1759
Country : US
Telephone Number : 262-441-3314
Fax Number :
Provider Business Practice Location Address
First Line : 435 RIVERCREST CT
Second Line :
City : MUKWONAGO
State : WI
Zip : 53149-1759
Country : US
Telephone Number : 262-441-3314
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/30/2010
Last Update Date : 03/30/2015

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