person
Mr. Ty C. Wade, DC
Chiropractor in Saukville, Wisconsin
NPI 1922145101

Ty C. Wade is a Chiropractor based in Saukville, WI. Ty C. Wade practices in Saukville, WI and has the professional credentials of DC. The NPI Number for Ty C. Wade is 1922145101 and holds a License No. 4012-012 (Wisconsin).

The current practice location address for Ty C. Wade is 620 E. Green Bay Ave., Saukville, WI and can be reached out via phone at 262-284-0022 and via fax at 262-268-0715.

Location: 620 E. Green Bay Ave., Saukville, WI, 53080
person
Provider Profile Details
NPI Number
1922145101
Provider Name
Ty C. Wade
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
620 E. Green Bay Ave., Saukville, WI, 53080
Phone Number
262-284-0022
Fax Number
262-268-0715
Provider Enumeration Date
01/30/2007
Last Update Date
06/15/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
38950300 05 WI
202500022 01 WI UHC
649385 01 WI ACN
202500022 01 WI WEA
202500022 01 WI WPPN
389-50300 05 WI
institution
Provider Business Practice Location Address Details
Address
620 E. Green Bay Ave.
City
State
Zip
53080
Phone Number
262-284-0022
Fax Number
262-268-0715
person
Provider Business Mailing Address Details
Address
620 E. Green Bay Ave.
City
State
Zip
53080
Phone Number
262-284-0022
Fax Number
262-268-0715
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
License No.
4012-012 (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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