Organization
RESTORE SPINE AND WELLNESS LLC
Active
Other names
Wellness Way Mequon LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANDREW MCGUIRE (OWNER)
(262) 478-9104
Entity
Organization
Contact information
Practice address
122 GREEN BAY RD STE 100, THIENSVILLE, WI 53092-1679
(262) 478-9104
(262) 478-9105
Mailing address
122 GREEN BAY RD STE 100, THIENSVILLE, WI 53092-1679
(262) 478-9104
(262) 478-9105
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3623-012
WI
Other
Enumeration date
11/20/2014
Last updated
07/18/2023
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