Provider Demographics
NPI:1649431685
Name:WILLNER, CORINNE KATHERINE (DC)
Entity type:Individual
Prefix:DR
First Name:CORINNE
Middle Name:KATHERINE
Last Name:WILLNER
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 1:3545 UNIVERSITY AVE
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:WI
Mailing Address - Zip Code:53705-2140
Mailing Address - Country:US
Mailing Address - Phone:608-297-7983
Mailing Address - Fax:
Practice Address - Street 1:3545 UNIVERSITY AVE
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:WI
Practice Address - Zip Code:53705-2140
Practice Address - Country:US
Practice Address - Phone:608-297-7983
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-23
Last Update Date:2008-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI4397-012111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor