Breyan Radeck Dc, Llc

NPI 1043564610 - Chiropractor - 111N00000X

NPI Details
NPI 1043564610
Enumeration Date 11/05/2012
Last Updated 11/05/2012
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name BREYAN BREYAN
Position CHIROPRACTOR
Phone (262) 542-2553
Fax (262) 522-6867
Practice Location
2430 N GRANDVIEW BLVD
UNIT C
WAUKESHA WI, 53188-6911, US
Phone (262) 542-2553
Fax (262) 522-6867
Business Location
2430 N GRANDVIEW BLVD
UNIT C
WAUKESHA WI, 53188-6911, US
Phone (262) 542-2553
Fax (262) 522-6867
Toxanomy
Taxonomy Code 111N00000X
License State Wisconsin
License Number 4494012
Remove 1043564610 NPI Number
 

According to our database, Breyan Radeck Dc, Llc NPI is 1043564610, taxonomy code is 111N00000X and license number is 4494012, license state is located at Wisconsin. Breyan Radeck Dc, Llc physically located at 2430 N Grandview Blvd, Waukesha WI, 53188-6911. NPI Number 1033115704 has the healthcare provider type.

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1043564610 NPI number is provided on an as is basis without warranty of any kind. 1043564610 is maintained by the National Plan & Provider Enumeration System. The contents of Breyan Radeck Dc, Llc are for informational purposes only.