person
Dr. Roger Clarence Hasbrouck, DC
Chiropractor in Beaver Dam, Wisconsin
NPI 1083796643

Roger Clarence Hasbrouck is a Chiropractor based in Beaver Dam, WI. Roger Clarence Hasbrouck practices in Beaver Dam, WI and has the professional credentials of DC. The NPI Number for Roger Clarence Hasbrouck is 1083796643 and holds a License No. 1570 (Wisconsin).

The current practice location address for Roger Clarence Hasbrouck is 915 Madison St, Beaver Dam, WI and can be reached out via phone at 920-887-8436 and via fax at 920-887-7399.

Location: 915 Madison St, Beaver Dam, WI, 53916-2623
person
Provider Profile Details
NPI Number
1083796643
Provider Name
Roger Clarence Hasbrouck
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
915 Madison St, Beaver Dam, WI, 53916-2623
Phone Number
920-887-8436
Fax Number
920-887-7399
Provider Enumeration Date
10/20/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
38764000 05 WI
391363647010 01 WI BLUE CROSS BLUE SHIELD #
institution
Provider Business Practice Location Address Details
Address
915 Madison St
City
State
Zip
53916-2623
Phone Number
920-887-8436
Fax Number
920-887-7399
person
Provider Business Mailing Address Details
Address
915 Madison St
City
State
Zip
53916-2623
Phone Number
920-887-8436
Fax Number
920-887-7399
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
License No.
1570 (Wisconsin)
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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