Optimal Performance Health Care Center Llc

NPI 1275814345 - Chiropractor - 111NR0400X

NPI Details
NPI 1275814345
Enumeration Date 09/02/2011
Last Updated 09/23/2011
Entity Type Healthcare Provider
Active Over 5 years ago
Authorized Information
Name COREY COREY
Position OWNER/CLINIC DIRECTOR
Phone (414) 491-8650
Fax (414) 810-0894
Practice Location
10500 W LOOMIS RD
SUITE 160
FRANKLIN WI, 53132-8030, US
Phone (414) 491-8650
Fax (414) 810-0894
Business Location
1962 N COMMERCE ST
MILWAUKEE WI, 53212-3401, US
Phone (414) 491-8650
Fax
Toxanomy
Taxonomy Code 111NR0400X
License State Wisconsin
License Number 4410-12
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According to our database, Optimal Performance Health Care Center Llc NPI is 1275814345, taxonomy code is 111NR0400X and license number is 4410-12, license state is located at Wisconsin. Optimal Performance Health Care Center Llc physically located at 10500 W Loomis Rd, Franklin WI, 53132-8030. NPI Number 1033115704 has the healthcare provider type.

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1275814345 NPI number is provided on an as is basis without warranty of any kind. 1275814345 is maintained by the National Plan & Provider Enumeration System. The contents of Optimal Performance Health Care Center Llc are for informational purposes only.