Individual
DR. DENNIS E. WOLTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
924 MAIN ST, KEOKUK, IA 52632-4655
(319) 524-0905
(319) 524-0904
Mailing address
924 MAIN ST, KEOKUK, IA 52632-4655
(319) 524-0905
(319) 524-0904
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
A05887
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
52935
BC/BS
IA
01
—
615537
TRIGON
IA
Enumeration date
07/18/2006
Last updated
01/10/2008
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