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NPI Code Detail

MEDICARE: DR. CARL MANUEL CALABRESE D.C.

MEDICARE:  DR. CARL MANUEL CALABRESE  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
1111N00000XChiropractor5247-12WI

General Provider Information

NPI Number : 1730627514
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CARL MANUEL CALABRESE D.C.
Provider Business Mailing Address
First Line : 716 SAINT CROIX ST
Second Line :
City : PRESCOTT
State : WI
Zip : 54021-1445
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 716 SAINT CROIX ST
Second Line :
City : PRESCOTT
State : WI
Zip : 54021-1445
Country : US
Telephone Number : 507-696-7939
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/01/2017
Last Update Date : 02/14/2017

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Directions to “ DR. CARL MANUEL CALABRESE D.C.” Practice Location

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