Wall Family Chiropractic Llc

NPI 1093978611 - Chiropractor - 111N00000X

NPI Details
NPI 1093978611
Enumeration Date 07/03/2008
Last Updated 07/03/2008
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name TRACI TRACI
Position MEMBER
Phone (414) 774-2300
Fax (414) 774-0341
Practice Location
8812 W NORTH AVE
WAUWATOSA WI, 53226-2726, US
Phone (414) 774-2300
Fax (414) 774-0341
Business Location
8812 W NORTH AVE
WAUWATOSA WI, 53226-2726, US
Phone (414) 774-2300
Fax (414) 774-0341
Toxanomy
Taxonomy Code 111N00000X
License State Wisconsin
License Number 4199-012
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According to our database, Wall Family Chiropractic Llc NPI is 1093978611, taxonomy code is 111N00000X and license number is 4199-012, license state is located at Wisconsin. Wall Family Chiropractic Llc physically located at 8812 W North Ave, Wauwatosa WI, 53226-2726. NPI Number 1033115704 has the healthcare provider type.

1093978611 NPI number is provided on an as is basis without warranty of any kind. 1093978611 is maintained by the National Plan & Provider Enumeration System. The contents of Wall Family Chiropractic Llc are for informational purposes only.