Chiropractic Firsts.C.
Chiropractor in Mukwonago, WI. Organization (NPI-2).
NPI number1720280829
StatusActive
Last updated in NPPESJul 10, 2015
Details
- NPI
- 1720280829
- Entity type
- Organization (NPI-2)
- Legal business name
- Chiropractic Firsts.C.
- Organization subpart
- No
- Enumeration date
- Jun 1, 2007
- Last updated
- Jul 10, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 111N00000X | Chiropractor | 3709-012 | WI | Yes |
Practice location
603 N Rochester StMukwonago, WI 53149-1139
Phone 262-363-5021 · Fax 262-363-5037
Mailing address
603 N Rochester StMukwonago, WI 53149-1139
Phone 262-363-5021 · Fax 262-363-5037
Authorized official
Mark Davis
Owner Doctor
2623635021
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