Individual
RICHARD DALE GLESSING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
1219 MAIN ST W, ASHLAND, WI 54806-1202
(715) 682-4033
(715) 682-4033
Mailing address
1219 MAIN ST W, ASHLAND, WI 54806-1202
(715) 682-4033
(715) 682-4033
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1567-012
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38766200
—
WI
01
—
391517596014
ANTHEM
WI
Enumeration date
02/21/2007
Last updated
01/04/2019
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