Individual
DR. LANCE ALBERT WULF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
215 N BLACK RIVER ST, SPARTA, WI 54656-1529
(608) 269-4511
(608) 269-8511
Mailing address
601 S 32ND AVE, WAUSAU, WI 54401-3958
(715) 848-2526
(715) 848-2225
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4102
WI
111N00000X
Chiropractor
4663
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
051H2WU
BLUE CROSS BLUE SHEILD
MN
01
—
201803724
UNITED HEALTH CARE
WI
01
—
2018037247
WPS
WI
05
—
38958900
—
WI
01
—
5605960001
MEDICARE DMEPOS
WI
01
—
966462900
MCARE OF MINNESOTA
MN
Enumeration date
09/13/2006
Last updated
02/25/2011
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