Organization
PETER A THROM
Active
Other names
Wausau Community Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PETER ALLEN THROM D.C. (OWNER)
(715) 393-5227
Entity
Organization
Contact information
Practice address
605 S 24TH AVE, SUITE 46, WAUSAU, WI 54401-1705
(715) 393-5227
Mailing address
708 FULTON ST, APARTMENT 123, WAUSAU, WI 54403-4943
(715) 393-5227
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4621-012
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1649596651
—
WI
Enumeration date
10/14/2011
Last updated
10/16/2011
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