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Search › Wisconsin › 111N00000X

Mark Vandecastle, D.C

NPI 1649390352 · on the registry since 2007

Practice

Address
140 N. Townline Rd
Wautoma, WI 54982
Phone
(920) 787-0122
Fax
(920) 787-0091
Organisation at this address
Active Lifestyle Chiropractic,Sc
Vandecastle Family Chiropractic Clinic
Inferred 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
2025-06-16

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