Individual
DR. CHAD MICHAEL WOOLNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
750 W USTICK RD, SUITE 100, MERIDIAN, ID 83646-6133
(208) 376-0660
(208) 376-0350
Mailing address
4228 E RACE ST, MERIDIAN, ID 83646-6360
(503) 419-8061
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIA-1348
ID
Other
Enumeration date
03/06/2009
Last updated
10/22/2009
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