Individual
KYLE MOELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
228 N 3RD AVE, WAUSAU, WI 54401-4410
(715) 845-6722
Mailing address
601 S 32ND AVE, WAUSAU, WI 54401-3958
(715) 848-2526
(715) 848-2225
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4998-12
WI
Other
Enumeration date
01/28/2014
Last updated
02/04/2014
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