Provider Demographics
NPI:1982824033
Name:GRIFFITH, DAVID JOSEPH (DC)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:JOSEPH
Last Name:GRIFFITH
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2361 50TH AVE
Mailing Address - Street 2:
Mailing Address - City:WOODVILLE
Mailing Address - State:WI
Mailing Address - Zip Code:54028-7206
Mailing Address - Country:US
Mailing Address - Phone:651-295-6171
Mailing Address - Fax:
Practice Address - Street 1:400 SOUTH 2ND ST
Practice Address - Street 2:SUITE 270
Practice Address - City:HUDSON
Practice Address - State:WI
Practice Address - Zip Code:54016
Practice Address - Country:US
Practice Address - Phone:715-381-5400
Practice Address - Fax:715-381-5401
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-30
Last Update Date:2009-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN3960111N00000X
MN554171100000X
WI4448-012111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
No171100000XOther Service ProvidersAcupuncturist