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Organization
CHIROPRACTIC ASSOCIATES OF KENOSHA, S.C.
Active
Organization
CHIROPRACTIC ASSOCIATES OF KENOSHA, S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL A TRABBOLD DC (OWNER/PRESIDENT)
(262) 942-9955
Entity
Organization
Contact information
Practice address
3120 80TH ST, KENOSHA, WI 53142-4946
(262) 942-9955
(262) 942-9958
Mailing address
3120 80TH ST, KENOSHA, WI 53142-4946
(262) 942-9955
(262) 942-9958
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3665
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38928300
—
WI
Enumeration date
08/08/2014
Last updated
08/08/2014
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