Individual
DANIEL W THROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
3125 MAIN ST, STEVENS POINT, WI 54481-3269
(715) 341-8222
(715) 341-3663
Mailing address
605 S 24TH AVE, STE 46, WAUSAU, WI 54401-1705
(715) 341-8222
(715) 341-3663
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4176-012
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1023311771
—
WI
01
—
104381
SECURITY HEALTH PLAN
—
01
—
CJ7408
RAILROAD MEDICARE GROUP
—
Enumeration date
09/17/2006
Last updated
07/08/2016
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