Healthcare Provider Details

I. General information

NPI: 1609848902
Provider Name (Legal Business Name): WILLIAM E DROESSLER DC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/02/2006
Last Update Date: 01/22/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6000 MONONA DR STE 201
MONONA WI
53716-3329
US

IV. Provider business mailing address

6000 MONONA DR STE 201
MONONA WI
53716-3329
US

V. Phone/Fax

Practice location:
  • Phone: 608-249-4010
  • Fax:
Mailing address:
  • Phone: 608-249-4010
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number1376
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: