Traci Wall D.C.

NPI 1053343756 - Chiropractor - 111N00000X

NPI Details
NPI 1053343756
Gender Female
Enumeration Date 07/06/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
864 ROSE DR
HARTLAND WI, 53029-8317, US
Phone (262) 367-4523
Fax (262) 367-4657
Business Location
864 ROSE DR
HARTLAND WI, 53029-8317, US
Phone (262) 367-4523
Fax (262) 367-4657
Toxanomy
Taxonomy Code 111N00000X
License State Wisconsin
License Number 4199-012
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According to our database, Dr. Traci Wall D.C. NPI is 1053343756, taxonomy code is 111N00000X and license number is 4199-012, license state is located at Wisconsin. Traci Wall D.C. physically located at 864 Rose Dr, Hartland WI, 53029-8317. NPI Number Traci Wall D.C. has the Individual type.

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1053343756 NPI number is provided on an as is basis without warranty of any kind. 1053343756 is maintained by the National Plan & Provider Enumeration System. The contents of Traci Wall D.C. are for informational purposes only.