Individual
DR. THOMAS F BURLAGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
801 N MAIN ST, SUITE I, LODI, WI 53555-1279
(608) 592-1444
(608) 592-1445
Mailing address
801 N MAIN ST, SUITE I, LODI, WI 53555-1279
(608) 592-1444
(608) 592-1445
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3522
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3522
LICENSE
WI
05
—
38930100
—
WI
01
—
392029630016
BCBS
WI
Enumeration date
11/20/2006
Last updated
10/03/2014
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