Provider Demographics
NPI:1871238774
Name:MAU, JAROD (DC)
Entity Type:Individual
Prefix:
First Name:JAROD
Middle Name:
Last Name:MAU
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:208 S HOLMEN DR STE 104
Mailing Address - Street 2:
Mailing Address - City:HOLMEN
Mailing Address - State:WI
Mailing Address - Zip Code:54636-4408
Mailing Address - Country:US
Mailing Address - Phone:712-333-3430
Mailing Address - Fax:
Practice Address - Street 1:208 S HOLMEN DR STE 104
Practice Address - Street 2:
Practice Address - City:HOLMEN
Practice Address - State:WI
Practice Address - Zip Code:54636-4408
Practice Address - Country:US
Practice Address - Phone:608-399-2220
Practice Address - Fax:608-399-2230
Is Sole Proprietor?:Yes
Enumeration Date:2022-05-04
Last Update Date:2022-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI5747-12111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor