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Organization
WULF CHIROPRACTIC, LLC
Active
Organization
WULF CHIROPRACTIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LANCE ALBERT WULF D.C. (OWNER)
(608) 782-2943
Entity
Organization
Contact information
Practice address
402 SOUTH 6TH STREET, LA CROSSE, WI 54601-4505
(608) 782-2943
(609) 782-2947
Mailing address
402 SOUTH 6TH STREET, LA CROSSE, WI 54601-4505
(608) 782-2943
(609) 782-2947
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 SHIELD
MN
01
—
120988
HEALTH PARTNERS
WI
05
—
38958900
—
WI
01
—
481967357005
BLUE CROSS BLUE SHEILD
WI
01
—
5605960001
MEDICAREDMEPOS
WI
01
—
668981
ACN
WI
Enumeration date
12/20/2006
Last updated
08/22/2020
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