Individual provider · Type 1 NPI

Daniel James Wautlet

Chiropractor · Green Bay, WI

NPI number 1245257146 Active

Practice location

1071 Cormier Rd
Green Bay, WI 54304-4350

Call (920) 499-0123 Map

Fax (920) 499-5919

Specialties and licenses

TaxonomyCodeLicense
Chiropractor Primary 111N00000X1597-012 (WI)

Chiropractor: 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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About NPI 1245257146

Daniel James Wautlet's National Provider Identifier is 1245257146, issued on Jul 16, 2006. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Green Bay, WI. The record was last updated on Sep 25, 2012.