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Dr. Tad Alan Diciaula, DC
Chiropractor in Pewaukee, Wisconsin
NPI 1124181680

Tad Alan Diciaula is a Chiropractor based in Pewaukee, WI. Tad Alan Diciaula practices in Pewaukee, WI and has the professional credentials of DC. The NPI Number for Tad Alan Diciaula is 1124181680 and holds a License No. 3967-012 (Wisconsin).

The current practice location address for Tad Alan Diciaula is 213 W Wisconsin Ave, Pewaukee, WI and can be reached out via phone at 262-695-0022 and via fax at 262-695-0011.

Location: 213 W Wisconsin Ave, Pewaukee, WI, 53072-3435
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1124181680
Provider Name
Tad Alan Diciaula
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
213 W Wisconsin Ave, Pewaukee, WI, 53072-3435
Phone Number
262-695-0022
Fax Number
262-695-0011
Provider Enumeration Date
12/18/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
213 W Wisconsin Ave
City
Pewaukee
State
Wisconsin
Zip
53072-3435
Phone Number
262-695-0022
Fax Number
262-695-0011
person
Provider Business Mailing Address Details
Address
213 W Wisconsin Ave
City
Pewaukee
State
Wisconsin
Zip
53072-3435
Phone Number
262-695-0022
Fax Number
262-695-0011
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
3967-012 (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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