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Individual

BRADEN M SIMS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
205 VALLEY AVE, WEST BEND, WI 53095-5312
(262) 338-1123
(262) 338-7169
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
08003218A
IN
111N00000X
Chiropractor
Primary
6002
WI
390200000X
Student in an Organized Health Care Education/Training Program

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100217955
WI
Enumeration date
01/20/2021
Last updated
11/03/2025
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