Individual
DR. BRADLEY ALVIN PAULSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
336 3RD AVE, CLEAR LAKE, WI 54005
(715) 263-2313
(715) 263-3284
Mailing address
PO BOX 96, CLEAR LAKE, WI 54005
(715) 263-2313
(715) 263-3284
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38789400
—
WI
Enumeration date
08/29/2006
Last updated
08/20/2012
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