Organization
DICIAULA HEALTH SERVICES, SC
Active
Other names
chiropractic and wellness on pewaukee lake
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TAD A DICIAULA DC (PRESIDENT)
(262) 695-0022
Entity
Organization
Contact information
Practice address
213 W WISCONSIN AVE, PEWAUKEE, WI 53072-3435
(262) 695-0022
(262) 695-0011
Mailing address
213 W WISCONSIN AVE, PEWAUKEE, WI 53072-3435
(262) 695-0022
(262) 695-0011
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3967-012
WI
Other
Enumeration date
05/14/2007
Last updated
12/29/2015
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