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NPI Code Detail

MEDICARE: MALARIE J MONTIE D.C

MEDICARE:   MALARIE J MONTIE  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
1111N00000XChiropractor5180-12WI

General Provider Information

NPI Number : 1730542416
Entity Type Code : Individual
Provider Name (Legal Business Name) : MALARIE J MONTIE D.C
Provider Business Mailing Address
First Line : E10838 DEER RUN RD
Second Line :
City : BARABOO
State : WI
Zip : 53913-9766
Country : US
Telephone Number : 608-393-8169
Fax Number :
Provider Business Practice Location Address
First Line : 550 W MAPLE ST # 201
Second Line :
City : BARABOO
State : WI
Zip : 53913-1166
Country : US
Telephone Number : 608-393-8169
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/31/2016
Last Update Date : 03/31/2016

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Directions to “ MALARIE J MONTIE D.C” Practice Location

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