SearchWisconsin171100000X

Dan Deforest, L.AC

NPI 1336488469 · on the registry since 2013 · sole proprietor

Practice

Address
307 S Maple St
North Freedom, WI 53951
Phone
(608) 522-5022

Registry record

Primary taxonomy
171100000X
171100000X
Licence states on file
WI
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2013-02-08

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