Richard Charles Maedke D.C.

NPI 1124176268 - Chiropractor - 111N00000X

NPI Details
NPI 1124176268
Gender Male
Enumeration Date 01/08/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
1410 E CAPITOL DR
SHOREWOOD WI, 53211-1901, US
Phone (414) 906-8081
Fax (414) 906-8093
Business Location
4228 N WOODBURN ST
SHOREWOOD WI, 53211-1503, US
Phone (414) 964-1685
Fax
Toxanomy
Taxonomy Code 111N00000X
License State Wisconsin
License Number 2789-012
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According to our database, Richard Charles Maedke D.C. NPI is 1124176268, taxonomy code is 111N00000X and license number is 2789-012, license state is located at Wisconsin. Richard Charles Maedke D.C. physically located at 1410 E Capitol Dr, Shorewood WI, 53211-1901. NPI Number Richard Charles Maedke D.C. has the Individual type.

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1124176268 NPI number is provided on an as is basis without warranty of any kind. 1124176268 is maintained by the National Plan & Provider Enumeration System. The contents of Richard Charles Maedke D.C. are for informational purposes only.