| NPI | 1679898647 |
|---|---|
| Doing Business As | WALLACE CHIROPRACTIC |
| Entity Type | Organization |
| Authorized Contact | TERRANCE MARK WALLACE Chiropractic 715-386-7700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: WI 1632) |
| Enumeration Date | 2010-04-02 |
| Last Update Date | 2010-04-02 |