SearchWisconsin111N00000X

Jon Wall, D.C

NPI 1053332650 · on the registry since 2006 · sole proprietor

Practice

Address
116 Pine St
Mauston, WI 53948
Phone
(608) 847-1888
Fax
(608) 847-1678

Registry record

Primary taxonomy
111N00000X
111N00000X
Licence states on file
WI
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2007-07-09

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin