DR. Terrance Mark Wallace, DC

NPI #1386732584 in Hudson, Wisconsin

Provider Information

NPI Number: 1386732584
Entity Type: Individual
Name: DR. Terrance Mark Wallace, DC
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Chiropractor
Credential: DC
Enumeration Date: Oct 11, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 411 COUNTY ROAD UU
City: Hudson
State: Wisconsin
ZIP Code: 54016-7576
Phone: (715) 386-7700

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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