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Contact Information

TODD PONICK, DC
9520 COUNTY HIGHWAY H
STANLEY, WI54768
 Phone: 715-644-5428
 Fax: 715-644-5486
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Sports Physician

111NS0005X 35 Chiropractic
Indicates primary specialty

NPI Profile & details for TODD PONICK · (Male)

NPI # 1417964826
Status Active
Credentials DC (Doctor of Chiropractic)
Entity Individual
Enumeration date 08/01/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 Yes
Identifiers
  • WI License # 2802
  • WI Medicaid 38861300
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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