Wisconsin Pain & Rehab, Llc

NPI 1508135708 - Chiropractor - 111N00000X

NPI Details
NPI 1508135708
Enumeration Date 12/19/2011
Last Updated 12/19/2011
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name TODD JASON TODD
Position OWNER
Phone (305) 608-9248
Fax
Practice Location
2100 N MAYFAIR RD
201
WAUWATOSA WI, 53226-2239, US
Phone (305) 608-9248
Fax
Business Location
1670 ISLAND WAY
WESTON FL, 33326-3624, US
Phone
Fax
Toxanomy
Taxonomy Code 111N00000X
License State Florida
License Number CH7456
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According to our database, Wisconsin Pain & Rehab, Llc NPI is 1508135708, taxonomy code is 111N00000X and license number is CH7456, license state is located at Florida. Wisconsin Pain & Rehab, Llc physically located at 2100 N Mayfair Rd, Wauwatosa WI, 53226-2239. NPI Number 1033115704 has the healthcare provider type.

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1508135708 NPI number is provided on an as is basis without warranty of any kind. 1508135708 is maintained by the National Plan & Provider Enumeration System. The contents of Wisconsin Pain & Rehab, Llc are for informational purposes only.