Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Daniel James Wautlet

Individual provider Chiropractor · NPI 1245257146

Dr. Daniel James Wautlet is a Chiropractic in Green Bay, Wisconsin. Qualified in 1980, 46 years ago. Practices with Menominee Indian Tribe of Wisconsin, a 24-clinician group and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
46
Licensed in
WI
In the registry since
2006
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Practice location Address checks out

1071 Cormier Rd
Green Bay, WI 54304-4350
Phone: (920) 499-0123
Fax: (920) 499-5919
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X · Licence 1597-012 (WI)

Record details

NPI number1245257146
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJuly 16, 2006
Last updated in NPPESSeptember 25, 2012
Mailing address1071 Cormier Rd, Green Bay, WI 54304-4350

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCHIROPRACTIC
Medical schoolOTHER
Graduated 1980 (46 years in practice)
Group practice Menominee Indian Tribe Of Wisconsin — 24 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Green Bay