Provider Demographics
NPI:1285059980
Name:HUEBNER, KARL (DC)
Entity type:Individual
Prefix:DR
First Name:KARL
Middle Name:
Last Name:HUEBNER
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 1:3108 MID VALLEY DR
Mailing Address - Street 2:
Mailing Address - City:DE PERE
Mailing Address - State:WI
Mailing Address - Zip Code:54115-9436
Mailing Address - Country:US
Mailing Address - Phone:920-515-0990
Mailing Address - Fax:
Practice Address - Street 1:3108 MID VALLEY DR
Practice Address - Street 2:
Practice Address - City:DE PERE
Practice Address - State:WI
Practice Address - Zip Code:54115-9436
Practice Address - Country:US
Practice Address - Phone:920-515-0990
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-03-04
Last Update Date:2020-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI4996-12111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor