Individual
CHARLES DENNIS WOLTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
4340 OTTER LAKE ROAD, EAGLE RIVER, WI 54521-1567
(715) 479-9798
(715) 477-0016
Mailing address
PO BOX 1567, EAGLE RIVER, WI 54521-1567
(715) 479-9798
(715) 477-0016
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1278
WI
111N00000X
Chiropractor
2914
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38824200
—
WI
Enumeration date
12/11/2006
Last updated
07/08/2007
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