Jon T Wall, D.C.

NPI #1053332650 in Mauston, Wisconsin

Provider Information

NPI Number: 1053332650
Entity Type: Individual
Name: Jon T Wall, D.C.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Chiropractor
Credential: D.C.
Enumeration Date: Jul 21, 2006
Last Updated: Jul 9, 2007

Practice Location

Address: 116 PINE ST
City: Mauston
State: Wisconsin
ZIP Code: 53948-1336
Phone: (608) 847-1888

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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