Search › Wisconsin › 111N00000X
John Eidem, DC
NPI 1013992627 · on the registry since 2005 · sole proprietor
Practice
- Address
- 514 E Lake St
Horicon, WI 53032 - Phone
- (920) 485-4009
- Fax
- (920) 485-0632
- Organisation at this address
- Steven Eidem
Horicon Family ChiropracticInferred from a shared address, not stated in the registry. - Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 111N00000X
111N00000X
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2010-07-29
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin