Individual
DR. RYAN THOMAS FUELLEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
B.S. D.C.
Contact information
Practice address
1831 W COURT ST, JANESVILLE, WI 53548-3406
(608) 312-7825
Mailing address
4353 W SPRING CREEK RD, BELOIT, WI 53511-8487
(608) 312-7825
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4663-012
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100014477
—
WI
Enumeration date
08/04/2008
Last updated
05/28/2014
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