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Dr. Mary J Gonstead, DC
Chiropractor in Eau Claire, Wisconsin
NPI 1508866161

Mary J Gonstead is a Chiropractor based in Eau Claire, WI. Mary J Gonstead practices in Eau Claire, WI and has the professional credentials of DC. The NPI Number for Mary J Gonstead is 1508866161 and holds a License No. 2063-012 (Wisconsin).

The current practice location address for Mary J Gonstead is 431 E Clairemont Ave, Eau Claire, WI and can be reached out via phone at 715-832-2223 and via fax at 715-832-7416. You can also correspond with Mary J Gonstead through the mailing address at 503 E CLAIREMONT AVE, EAU CLAIRE, WI - 54701-6479 (mailing address contact number: 715-832-2223).

Location: 431 E Clairemont Ave, Eau Claire, WI, 54701-6479
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1508866161
Provider Name
Mary J Gonstead
Credential
DC
Provider Entity Type
Individual
Gender
Female
Address
431 E Clairemont Ave, Eau Claire, WI, 54701-6479
Phone Number
715-832-2223
Fax Number
715-832-7416
Provider Enumeration Date
07/26/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
391744596019 01 WI BLUE CROSS
350010622 01 WI RAILROAD MEDICARE
institution
Provider Business Practice Location Address Details
Address
431 E Clairemont Ave
City
Eau Claire
State
Wisconsin
Zip
54701-3685
Phone Number
715-832-2223
Fax Number
715-832-7416
person
Provider Business Mailing Address Details
Address
503 E Clairemont Ave
City
Eau Claire
State
Wisconsin
Zip
54701-6479
Phone Number
715-832-2223
Fax Number
715-832-7416
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
2063-012 (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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