Individual provider · Type 1 NPI
Lance Albert Wulf, DC
Chiropractor · Sparta, WI
NPI number
1811092091
Active
Practice location
215 N Black River St
Sparta, WI 54656-1529
Fax (608) 269-8511
Mailing address
601 S 32nd Ave
Wausau, WI 54401-3958
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | 4102 (WI) |
| Chiropractor | 111N00000X | 4663 (MN) |
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 1811092091
Lance Albert Wulf, DC's National Provider Identifier is 1811092091, issued on Sep 13, 2006. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Sparta, WI. The record was last updated on Feb 25, 2011.