Individual
CHAD CHARLES WOLTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
2105 E CLAIREMONT AVE, EAU CLAIRE, WI 54701-4768
(715) 835-9514
Mailing address
2105 E CLAIREMONT AVE, EAU CLAIRE, WI 54701-4768
(715) 835-9405
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3151-012
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38921400
—
WI
Enumeration date
05/18/2006
Last updated
03/17/2014
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