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Dr. Jeffrey Gene Buntrock, DC
Chiropractor in Lake Geneva, Wisconsin
NPI 1881624823

Jeffrey Gene Buntrock is a Chiropractor based in Lake Geneva, WI. Jeffrey Gene Buntrock practices in Lake Geneva, WI and has the professional credentials of DC. The NPI Number for Jeffrey Gene Buntrock is 1881624823 and holds a License No. 2834-012 (Wisconsin).

The current practice location address for Jeffrey Gene Buntrock is 612 S Wells St, Lake Geneva, WI and can be reached out via phone at 262-248-8177 and via fax at 262-248-6393.

Location: 612 S Wells St, Lake Geneva, WI, 53147-2159
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1881624823
Provider Name
Jeffrey Gene Buntrock
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
612 S Wells St, Lake Geneva, WI, 53147-2159
Phone Number
262-248-8177
Fax Number
262-248-6393
Provider Enumeration Date
07/04/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
38863200 05 WI
institution
Provider Business Practice Location Address Details
Address
612 S Wells St
City
Lake Geneva
State
Wisconsin
Zip
53147-2159
Phone Number
262-248-8177
Fax Number
262-248-6393
person
Provider Business Mailing Address Details
Address
612 S Wells St
City
Lake Geneva
State
Wisconsin
Zip
53147-2159
Phone Number
262-248-8177
Fax Number
262-248-6393
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
2834-012 (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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