Organization
BREYAN RADECK DC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BREYAN RADECK DC (CHIROPRACTOR)
(262) 349-9370
Entity
Organization
Contact information
Practice address
2717 N GRANDVIEW BLVD STE 101, WAUKESHA, WI 53188-1672
(262) 349-9370
(262) 349-9729
Mailing address
2717 N GRANDVIEW BLVD STE 101, WAUKESHA, WI 53188-1672
(262) 349-9370
(262) 349-9729
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4494012
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1043453426
—
WI
Enumeration date
11/05/2012
Last updated
06/27/2019
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