Provider Demographics
NPI:1578635959
Name:HAREL, ANNETTE MARIE (DC)
Entity type:Individual
Prefix:DR
First Name:ANNETTE
Middle Name:MARIE
Last Name:HAREL
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 659
Mailing Address - Street 2:
Mailing Address - City:HUDSON
Mailing Address - State:WI
Mailing Address - Zip Code:54016-0659
Mailing Address - Country:US
Mailing Address - Phone:715-386-0511
Mailing Address - Fax:715-386-2670
Practice Address - Street 1:411 COUNTY ROAD UU
Practice Address - Street 2:
Practice Address - City:HUDSON
Practice Address - State:WI
Practice Address - Zip Code:54016-7576
Practice Address - Country:US
Practice Address - Phone:715-386-0511
Practice Address - Fax:715-386-2670
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI2439111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor