Individual
EDWARD C WALLACE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.,N.D.
Contact information
Practice address
5305 HERBERT HOOVER HWY NE, WEST BRANCH, IA 52358-9543
(319) 643-5942
(319) 643-5942
Mailing address
5305 HERBERT HOOVER HWY NE, WEST BRANCH, IA 52358-9543
(319) 643-5942
(319) 643-5942
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
A05650
IA
Other
Enumeration date
04/04/2007
Last updated
07/08/2007
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