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Organization

CHIROPRACTIC CARE CENTER-WAUKESHA,LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. LAURA A DULL DC (CHIROPRACTOR)
(262) 542-9814
Entity
Organization

Contact information

Practice address
6400 INDUSTRIAL LOOP, GREENDALE, WI 53129-2452
(414) 423-4100
(414) 423-4134
Mailing address
811 N GRANDVIEW BLVD, WAUKESHA, WI 53188-2894
(262) 542-9814
(262) 542-9826

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3572
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
38920300
WI
Enumeration date
11/16/2007
Last updated
08/15/2014
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