Individual
DUSTIN CHAPMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4306 HENRY ST, WAUSAU, WI 54403-1203
(715) 432-1374
Mailing address
4306 HENRY STREET, WAUSAU, WI 54403
(715) 432-1374
Taxonomy
Speciality
Code
Description
License number
State
171WH0202X
Home Modifications Contractor
Primary
—
—
Other
Enumeration date
01/17/2014
Last updated
01/17/2014
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