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Dr. Daniel James Wautlet
Chiropractor in Green Bay, Wisconsin
NPI 1245257146

Daniel James Wautlet is a Chiropractor based in Green Bay, WI. Daniel James Wautlet practices in Green Bay, WI. The NPI Number for Daniel James Wautlet is 1245257146 and holds a License No. 1597-012 (Wisconsin).

The current practice location address for Daniel James Wautlet is 1071 Cormier Rd, Green Bay, WI and can be reached out via phone at 920-499-0123 and via fax at 920-499-5919. You can also correspond with Daniel James Wautlet through the mailing address at 1071 CORMIER RD, GREEN BAY, WI - 54304-4350 (mailing address contact number: 920-499-0123).

Location: 1071 Cormier Rd, Green Bay, WI, 54304-4350
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1245257146
Provider Name
Daniel James Wautlet
Credential
Provider Entity Type
Individual
Gender
Male
Address
1071 Cormier Rd, Green Bay, WI, 54304-4350
Phone Number
920-499-0123
Fax Number
920-499-5919
Provider Enumeration Date
07/16/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
38764100 05 WI
institution
Provider Business Practice Location Address Details
Address
1071 Cormier Rd
City
Green Bay
State
Wisconsin
Zip
54304-4350
Phone Number
920-499-0123
Fax Number
920-499-5919
person
Provider Business Mailing Address Details
Address
1071 Cormier Rd
City
Green Bay
State
Wisconsin
Zip
54304-4350
Phone Number
920-499-0123
Fax Number
920-499-5919
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
1597-012 (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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