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Dr. Michael Lawrence Bosquez, DC,CCEP
Chiropractor in Omro, Wisconsin
NPI 1285632901

Michael Lawrence Bosquez is a Chiropractor based in Omro, WI. Michael Lawrence Bosquez practices in Omro, WI and has the professional credentials of DC,CCEP. The NPI Number for Michael Lawrence Bosquez is 1285632901 and holds a License No. 3157 (Wisconsin).

The current practice location address for Michael Lawrence Bosquez is 836 Willow St, Omro, WI and can be reached out via phone at 920-685-3015 and via fax at 920-685-3017.

Location: 836 Willow St, Omro, WI, 54963-9373
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1285632901
Provider Name
Michael Lawrence Bosquez
Credential
DC,CCEP
Provider Entity Type
Individual
Gender
Male
Address
836 Willow St, Omro, WI, 54963-9373
Phone Number
920-685-3015
Fax Number
920-685-3017
Provider Enumeration Date
07/07/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
38885500 05 WI
institution
Provider Business Practice Location Address Details
Address
836 Willow St
City
Omro
State
Wisconsin
Zip
54963-9373
Phone Number
920-685-3015
Fax Number
920-685-3017
person
Provider Business Mailing Address Details
Address
836 Willow St
City
Omro
State
Wisconsin
Zip
54963-9373
Phone Number
920-685-3015
Fax Number
920-685-3017
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
3157 (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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