Individual
DR. MARK A DULL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.,DABCO,DACBSP
Contact information
Practice address
237 E. MAIN ST, TWIN LAKES, WI 53181
(262) 877-2196
(262) 877-2204
Mailing address
PO BOX 130, TWIN LAKES, WI 53181
(262) 877-2196
(262) 877-2204
Taxonomy
Speciality
Code
Description
License number
State
111NX0800X
Orthopedic Chiropractor
Primary
2331-012
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38931200
—
WI
Enumeration date
10/04/2006
Last updated
07/08/2007
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