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Individual

DR. DAVID ERIC BOLL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
1223 E NORTHLAND AVE, APPLETON, WI 54911-8415
(920) 886-5008
Mailing address
1223 E NORTHLAND AVE, APPLETON, WI 54911-8415
(920) 886-5008

Taxonomy

Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
2301008871
MI
111NS0005X
Sports Physician Chiropractor
Primary
2759-012
WI

Other

Enumeration date
11/28/2006
Last updated
07/08/2007
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