Individual
MR. PAUL EDWARD RALSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
13730 W GREENFIELD AVE, BROOKFIELD, WI 53005-7115
(262) 244-7600
Mailing address
10731 W FOREST HOME AVE, HALES CORNERS, WI 53130-2555
(414) 529-4600
(414) 529-4689
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3958-012
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38947700
—
WI
Enumeration date
02/06/2007
Last updated
03/11/2020
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