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Individual
DR. LANCE ALBERT WULF
Active
Individual
DR. LANCE ALBERT WULF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4102
WI
111N00000X
Chiropractor
4663
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
051H2WU
BLUE CROSS BLUE SHEILD
MN
01
—
201803724
UNITED HEALTH CARE
WI
01
—
2018037247
WPS
WI
05
—
38958900
—
WI
01
—
5605960001
MEDICARE DMEPOS
WI
01
—
966462900
MCARE OF MINNESOTA
MN
Enumeration date
09/13/2006
Last updated
02/25/2011
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