| 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 |
| 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.
Sponsored links
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.
Sponsored links