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Individual

DR. ALEXANDER C BURBACH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
5820 S PACKARD AVE, CUDAHY, WI 53110-2616
(414) 416-2645
(949) 862-7648
Mailing address
5820 S PACKARD AVE, CUDAHY, WI 53110-2616
(414) 416-2645
(949) 862-7648

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5476
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1013554708
WI
Enumeration date
12/02/2019
Last updated
01/03/2022
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