Individual
DR. TIMOTHY J DEFLORIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
214 MAPLE ST S STE A, TURTLE LAKE, WI 54889-8003
(715) 986-2220
Mailing address
214 MAPLE ST S STE A, P.O. BOX 65, TURTLE LAKE, WI 54889-8003
(715) 986-2220
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2841
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38867500
—
WI
Enumeration date
10/24/2006
Last updated
07/08/2007
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