Individual
DR. ROBERT L CADWALLADER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1777 W MAIN ST STE 107, SUN PRAIRIE, WI 53590-3100
(608) 318-2410
(608) 318-2412
Mailing address
1777 W MAIN ST STE 107, SUN PRAIRIE, WI 53590-3100
(608) 318-2410
(608) 318-2412
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
1362
TN
111N00000X
Chiropractor
Primary
4350-012
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3150790
BLUE CROSS BLUE SHEILD
TN
01
—
350050501
RAIL ROAD MEDICARE
TN
05
—
3679068
—
TN
Enumeration date
09/01/2005
Last updated
03/17/2018
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