person
Dr. Lance Albert Wulf, DC
Chiropractor in Sparta, Wisconsin
NPI 1811092091

Lance Albert Wulf is a Chiropractor based in Wausau, WI. Lance Albert Wulf practices in Sparta, WI and has the professional credentials of DC. The NPI Number for Lance Albert Wulf is 1811092091 and holds a License No. 4102 (Wisconsin).

The current practice location address for Lance Albert Wulf is 215 N Black River St, Sparta, WI and can be reached out via phone at 608-269-4511 and via fax at 608-269-8511.

Location: 215 N Black River St, Sparta, WI, 54401-3958
person
Provider Profile Details
NPI Number
1811092091
Provider Name
Lance Albert Wulf
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
215 N Black River St, Sparta, WI, 54401-3958
Phone Number
608-269-4511
Fax Number
608-269-8511
Provider Enumeration Date
09/13/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
051H2WU 01 MN BLUE CROSS BLUE SHEILD
201803724 01 WI UNITED HEALTH CARE
38958900 05 WI
5605960001 01 WI MEDICARE DMEPOS
966462900 01 MN MCARE OF MINNESOTA
2018037247 01 WI WPS
institution
Provider Business Practice Location Address Details
Address
215 N Black River St
City
State
Zip
54656-1529
Phone Number
608-269-4511
Fax Number
608-269-8511
person
Provider Business Mailing Address Details
Address
215 N Black River St
City
State
Zip
54656-1529
Phone Number
608-269-4511
Fax Number
608-269-8511
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
License No.
4102 (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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