Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
DR. DAVID L. BROUILLETTE, D.C., S.C.
Active
Organization
DR. DAVID L. BROUILLETTE, D.C., S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID L. BROUILLETTE D.C. (PRESIDENT)
(262) 692-6747
Entity
Organization
Contact information
Practice address
511 FREDONIA AVE, FREDONIA, WI 53021-9406
(262) 692-6747
(262) 692-6547
Mailing address
511 FREDONIA AVE, FREDONIA, WI 53021-9406
(262) 692-6747
(262) 692-6547
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2907
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1245234772
NPI # TYPE 1
WI
Enumeration date
01/15/2007
Last updated
08/22/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign upProduct
Developers