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Dr. Breanna Rose Ballweg, DC
Chiropractor in Madison, Wisconsin
NPI 1467727826

Breanna Rose Ballweg is a Chiropractor based in Madison, WI. Breanna Rose Ballweg practices in Madison, WI and has the professional credentials of DC. The NPI Number for Breanna Rose Ballweg is 1467727826 and holds a License No. 4875-12 (Wisconsin).

The current practice location address for Breanna Rose Ballweg is 621 S Gammon Rd, Madison, WI and can be reached out via phone at 608-630-9040 and via fax at 608-630-9060.

Location: 621 S Gammon Rd, Madison, WI, 53719-1371
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1467727826
Provider Name
Breanna Rose Ballweg
Credential
DC
Provider Entity Type
Individual
Gender
Female
Address
621 S Gammon Rd, Madison, WI, 53719-1371
Phone Number
608-630-9040
Fax Number
608-630-9060
Provider Enumeration Date
03/19/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
100022189 05 WI
institution
Provider Business Practice Location Address Details
Address
621 S Gammon Rd
City
Madison
State
Wisconsin
Zip
53719-1371
Phone Number
608-630-9040
Fax Number
608-630-9060
person
Provider Business Mailing Address Details
Address
621 S Gammon Rd
City
Madison
State
Wisconsin
Zip
53719-1371
Phone Number
608-630-9040
Fax Number
608-630-9060
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
4875-12 (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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