Individual
DR. DAVID H WAALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
417 MAIN AVE, STE 301, FARGO, ND 58103-1956
(715) 399-0330
(715) 399-0331
Mailing address
417 MAIN AVE, STE 301, FARGO, ND 58103-1956
(715) 399-0330
(715) 399-0331
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2352
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38836900
—
WI
Enumeration date
07/07/2006
Last updated
02/21/2020
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