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Individual

DR. TERRENCE R BARKALOW

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
200 N OAKRIDGE CT, WAUTOMA, WI 54982-8405
(920) 787-4715
(920) 787-1083
Mailing address
PO BOX 667, WAUTOMA, WI 54982-0667
(920) 787-4715
(920) 787-1083

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1750
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
38773900
WI
Enumeration date
10/12/2006
Last updated
09/09/2011
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