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Jon T Wall, DC
Chiropractor in Mauston, Wisconsin
NPI 1053332650

Jon T Wall is a Chiropractor based in Norwalk, WI. Jon T Wall practices in Mauston, WI and has the professional credentials of DC. The NPI Number for Jon T Wall is 1053332650 and holds a License No. 2233-012 (Wisconsin).

The current practice location address for Jon T Wall is 116 Pine St, Mauston, WI and can be reached out via phone at 608-847-1888 and via fax at 608-847-1678.

Location: 116 Pine St, Mauston, WI, 54648-7019
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1053332650
Provider Name
Jon T Wall
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
116 Pine St, Mauston, WI, 54648-7019
Phone Number
608-847-1888
Fax Number
608-847-1678
Provider Enumeration Date
07/21/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
38801200 05 WI
institution
Provider Business Practice Location Address Details
Address
116 Pine St
City
Mauston
State
Wisconsin
Zip
53948-1336
Phone Number
608-847-1888
Fax Number
608-847-1678
person
Provider Business Mailing Address Details
Address
116 Pine St
City
Mauston
State
Wisconsin
Zip
53948-1336
Phone Number
608-847-1888
Fax Number
608-847-1678
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
2233-012 (Wisconsin)
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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