Individual
DR. TAD ALAN DICIAULA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
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
12/18/2006
Last updated
07/08/2007
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