Olm Chiropractic Clinic Sc

NPI 1265553275 - Chiropractor - 111N00000X

NPI Details
NPI 1265553275
Enumeration Date 04/03/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name LARRY KENNETH LARRY
Position PRESIDENT
Phone (414) 771-4767
Fax (414) 771-4767
Practice Location
7229 W CENTER STREET
WAUWATOSA WI, 53210-1126, US
Phone (414) 771-4767
Fax (414) 771-4767
Business Location
7229 W CENTER STREET
WAUWATOSA WI, 53210-1126, US
Phone (414) 771-4767
Fax (414) 771-4767
Toxanomy
Taxonomy Code 111N00000X
License State
License Number
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According to our database, Olm Chiropractic Clinic Sc NPI is 1265553275, taxonomy code is 111N00000X Olm Chiropractic Clinic Sc physically located at 7229 W Center Street, Wauwatosa WI, 53210-1126. NPI Number 1033115704 has the healthcare provider type.

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1265553275 NPI number is provided on an as is basis without warranty of any kind. 1265553275 is maintained by the National Plan & Provider Enumeration System. The contents of Olm Chiropractic Clinic Sc are for informational purposes only.