Provider Demographics
NPI:1124042643
Name:DABRUZZI, DANIELLE T (BS D C)
Entity Type:Individual
Prefix:DR
First Name:DANIELLE
Middle Name:T
Last Name:DABRUZZI
Suffix:
Gender:F
Credentials:BS D C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:990 167TH ST
Mailing Address - Street 2:
Mailing Address - City:HAMMOND
Mailing Address - State:WI
Mailing Address - Zip Code:54015-5063
Mailing Address - Country:US
Mailing Address - Phone:651-295-6065
Mailing Address - Fax:
Practice Address - Street 1:86 COULEE RD. STE. 201
Practice Address - Street 2:
Practice Address - City:HUDSON
Practice Address - State:WI
Practice Address - Zip Code:54016
Practice Address - Country:US
Practice Address - Phone:715-386-2424
Practice Address - Fax:715-386-2426
Is Sole Proprietor?:No
Enumeration Date:2006-07-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI4228111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor