Individual
DALE J STRAMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
1260 S 8TH ST, MEDFORD, WI 54451-2069
(715) 748-6969
Mailing address
1260 S 8TH ST, MEDFORD, WI 54451-2069
(715) 748-6969
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2111-012
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
17729
SECURITY HEALTH PLAN
—
01
—
350038288
RAILROAD MEDICARE
WI
05
—
38793600
—
WI
01
—
38988000
MEDICAID GROUP
WI
01
—
CB3715
RAILROAD MEDICARE
—
Enumeration date
09/17/2006
Last updated
11/26/2012
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