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DR. TYLER GEORGE SCHNEEKLOTH D.C.
>> Chiropractor >> Chiropractic ProvidersRegistrant NPI Number: 1851429633
Individual Registrant:DR. TYLER GEORGE SCHNEEKLOTH D.C.
Gender: M
Sole Proprietor
Gender: M
Sole Proprietor
Location and contact information for practice:
100 E MADISON ST WATERLOO, WI 53594-1273 US
Tel: 920-478-4477 Fax: 920-478-4477
Tel: 920-478-4477 Fax: 920-478-4477
Contact information for business:
100 E MADISON ST WATERLOO, WI 53594-1273 US
Tel: 920-478-4477 Fax: 920-478-4477
Tel: 920-478-4477 Fax: 920-478-4477
Registration Information:
NPI: 1851429633
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 111N00000X | Chiropractic Providers Chiropractor | WI | 3425-012 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| 38901200 | WI | 05 |
