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Organization
DICIAULA HEALTH SERVICES, SC
Active
Organization
DICIAULA HEALTH SERVICES, SC
Active
Other names
chiropractic and wellness on pewaukee lake
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TAD A DICIAULA DC (PRESIDENT)
(262) 695-0022
Entity
Organization
Contact information
Practice address
213 W WISCONSIN AVE, PEWAUKEE, WI 53072-3435
(262) 695-0022
(262) 695-0011
Mailing address
213 W WISCONSIN AVE, PEWAUKEE, WI 53072-3435
(262) 695-0022
(262) 695-0011
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3967-012
WI
Other
Enumeration date
05/14/2007
Last updated
12/29/2015
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