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NPI 1699831909

IndividualActive

Ethan Dull, D.C.

NPI 1699831909 · Rehabilitation Chiropractor · Pewaukee, WI

Provider details

NPI number: 1699831909
Entity type: Individual
Primary specialty: Rehabilitation ChiropractorChiropractic Providers
Credential: D.C.
Sex: Male
Sole proprietor: No
License: 3571 (WI)

Practice location

2343 Silvernail Rd

Pewaukee, WI 53072-5402

Phone: (262) 542-4700

Fax: (262) 542-7499

More WI providers

Mailing address

12711 W Meadow Ln

New Berlin, WI 53151-1831

Registry dates

Enumerated: 2006-12-29
Last updated: 2007-07-08

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Ethan Dull, D.C. — NPI 1699831909, Pewaukee, WI | NPI Central