Individual
DR. DALTON RUSSELL LEWALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
500 S MAIN ST, CADOTT, WI 54727-9401
(715) 289-5000
Mailing address
W8894 BROKEN ARROW RD, CONRATH, WI 54731-9783
(715) 206-0073
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
6041-12
WI
Other
Enumeration date
12/21/2022
Last updated
04/07/2025
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