Individual
DR. NICHOLAS WALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
26343 BERNARDS LN, EASTMAN, WI 54626-8158
(608) 412-3722
Mailing address
26343 BERNARDS LN, EASTMAN, WI 54626-8158
(608) 412-3722
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4839-12
WI
Other
Enumeration date
01/02/2012
Last updated
11/09/2013
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