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Dr. Terrance Mark Wallace, DC
Chiropractor in Hudson, Wisconsin
NPI 1386732584

Terrance Mark Wallace is a Chiropractor based in Hudson, WI. Terrance Mark Wallace practices in Hudson, WI and has the professional credentials of DC. The NPI Number for Terrance Mark Wallace is 1386732584 and holds a License No. 1632 (Wisconsin).

The current practice location address for Terrance Mark Wallace is 411 County Road Uu, Hudson, WI and can be reached out via phone at 715-386-7700.

Location: 411 County Road Uu, Hudson, WI, 54016-0009
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1386732584
Provider Name
Terrance Mark Wallace
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
411 County Road Uu, Hudson, WI, 54016-0009
Phone Number
715-386-7700
Fax Number
Provider Enumeration Date
10/11/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
27F65WA 01 WI BCBS
44-40146 01 WI MEDICA
71907 01 WI HEALTH PARTNERS
392000316019 01 WI BLUE CROSS WI
38765600 05 WI
institution
Provider Business Practice Location Address Details
Address
411 County Road Uu
City
Hudson
State
Wisconsin
Zip
54016-7576
Phone Number
715-386-7700
Fax Number
person
Provider Business Mailing Address Details
Address
411 County Road Uu
City
Hudson
State
Wisconsin
Zip
54016-7576
Phone Number
715-386-7700
Fax Number
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
1632 (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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