Individual
DR. PETER A THROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
605 S 24TH AVE, SUITE 46, WAUSAU, WI 54401-1705
(715) 301-1111
Mailing address
605 S 24TH AVE, SUITE 46, WAUSAU, WI 54401-1705
(715) 301-1111
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4621-012
WI
Other
Enumeration date
04/15/2010
Last updated
08/05/2011
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