is a Chiropractor in Wausau, Wisconsin. practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for is 1487605051. The last update date is .
's current location address is 601 S 32nd Ave, Wausau, Wisconsin. You can contact this provider via phone number 7158482526 and fax number 7158482225. The mailing address for is 601 S 32nd Ave, Wausau, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | |
|---|---|
| Address | 601 S 32nd Ave, Wausau, Wisconsin |
| Phone Number | 7158482526 |
| Fax Number | 7158482225 |
| Sole Proprietor | -- |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1487605051 |
|---|---|
| Provider Enumeration Date | |
| Last Updated Date |
Provider Mailing Address Detail
| Address | 601 S 32nd Ave |
|---|---|
| City | Wausau |
| State | Wisconsin (WI) |
| Post Code | 544013958 |
| Phone Number | 7158482526 |
| Fax Number | 7158482225 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
|
Definition: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its inte |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 38989600 | WI | -- | |
| 38993500 | WI | -- | |
| 38984600 | WI | -- | |
| 38995900 | WI | -- | |
| 38987300 | WI | -- |
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