Individual
DR. STUART JOHN BOELTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
1326 ROYALTON ST, WAUPACA, WI 54981-1609
(715) 258-8288
(715) 258-7195
Mailing address
1326 ROYALTON ST, WAUPACA, WI 54981-1609
(715) 258-8288
(715) 258-7195
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3156012
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38885800
—
WI
01
—
613541
ACN
—
01
—
62411
MULTI PLAN
—
Enumeration date
10/04/2006
Last updated
07/14/2010
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