TERRANCE MARK WALLACE

HUDSON, WI
NPI1386732584
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy111N00000X Chiropractor
(Licence: WI  1632)
Enumeration Date2006-10-11
Last Update Date2007-07-08
Business Address
Dr. TERRANCE MARK WALLACE DC
411 COUNTY ROAD UU
HUDSON, WI 54016-7576
Phone number: 715-386-7700
Mailing Address
Dr. TERRANCE MARK WALLACE DC
PO BOX 9
HUDSON, WI 54016-0009
Phone number: 715-386-7700