Terrance Wallace Sc

NPI #1679898647 in Hudson, Wisconsin

Provider Information

NPI Number: 1679898647
Entity Type: Organization
Organization Name: Terrance Wallace Sc
Primary Specialty: Chiropractor
Enumeration Date: Apr 2, 2010
Last Updated: Apr 2, 2010

Practice Location

Address: 400 2ND ST S
Address 2: SUITE 265
City: Hudson
State: Wisconsin
ZIP Code: 54016-4000
Phone: (715) 386-7700

Authorized Official

Name: DR. TERRANCE MARK WALLACE, DC
Title: CHIROPRACTIC
Phone: (715) 386-7700

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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