| NPI Details | |
|---|---|
| NPI | 1093978611 |
| Enumeration Date | 07/03/2008 |
| Last Updated | 07/03/2008 |
| Entity Type | Healthcare Provider |
| Active | Over 8 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 |
| Remove 1093978611 NPI Number | |
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.
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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.
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