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Dr. Clark D Heller, DC
Chiropractor in Delavan, Wisconsin
NPI 1669595054

Clark D Heller is a Chiropractor based in Delavan, WI. Clark D Heller practices in Delavan, WI and has the professional credentials of DC. The NPI Number for Clark D Heller is 1669595054 and holds a License No. 4069-012 (Wisconsin).

The current practice location address for Clark D Heller is 1221 Phoenix St, Delavan, WI and can be reached out via phone at 262-728-8208 and via fax at 262-728-9818.

Location: 1221 Phoenix St, Delavan, WI, 53115-2340
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1669595054
Provider Name
Clark D Heller
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
1221 Phoenix St, Delavan, WI, 53115-2340
Phone Number
262-728-8208
Fax Number
262-728-9818
Provider Enumeration Date
04/09/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000535686 01 WI PTAN
institution
Provider Business Practice Location Address Details
Address
1221 Phoenix St
City
Delavan
State
Wisconsin
Zip
53115-2340
Phone Number
262-728-8208
Fax Number
262-728-9818
person
Provider Business Mailing Address Details
Address
1221 Phoenix St
City
Delavan
State
Wisconsin
Zip
53115-2340
Phone Number
262-728-8208
Fax Number
262-728-9818
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
4069-012 (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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