Individual
DR. DAVID WAYNE ENGSTROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
1240 13TH AVENUE, GRAFTON, WI 53024
(262) 375-1470
(262) 375-3580
Mailing address
1240 13TH AVENUE, GRAFTON, WI 53024
(262) 375-1470
(262) 375-3580
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1485
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38762500
—
WI
Enumeration date
04/11/2007
Last updated
07/08/2007
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