Alexander Anton Provost, DC - Shawano, WI

Alexander Anton Provost, DC

Chiropractor in Shawano, Wisconsin

NPI 1306434337

Alexander Anton Provost is a Chiropractor based in Blaine, WI. Alexander Anton Provost practices in Shawano, WI and has the professional credentials of DC. The NPI Number for Alexander Anton Provost is 1306434337 and holds a License No. 6646 (Wisconsin).

The current practice location address for Alexander Anton Provost is W5675 County Road B, Shawano, WI and can be reached out via phone at 715-526-6158.

Location: W5675 County Road B, Shawano, WI, 55434-2346

NPI Number

1306434337

Provider Name

Alexander Anton Provost

Credential

Provider Entity Type

Individual

Gender

Male

Address

W5675 County Road B, Shawano, WI, 55434-2346

Phone Number

715-526-6158

Fax Number

Provider Enumeration Date

01/05/2021

Last Update Date

03/10/2024

Address

W5675 County Road B

City

Shawano

State

Wisconsin

Zip

54166-6901

Phone Number

715-526-6158

Fax Number

Address

W5675 County Road B

City

Shawano

State

Wisconsin

Zip

54166-6901

Phone Number

715-526-6158

Fax Number

Type

Chiropractic Providers

Classification

Chiropractor

Speciality

Taxonomy

111N00000X

License No.

6646 (Minnesota)

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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