Individual
ANDREW TREUTELAAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
2444 N GRANDVIEW BLVD # B, WAUKESHA, WI 53188-1695
(262) 650-0701
(262) 522-9858
Mailing address
2444 N GRANDVIEW BLVD # B, WAUKESHA, WI 53188-1695
(262) 650-0701
(262) 522-9858
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4001012
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1821085754
—
WI
Enumeration date
10/05/2005
Last updated
04/13/2016
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