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Individual

DR. BENJAMIN ALAN LUCZAK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
N68W28550 SUSSEX RD, SUITE 2, HARTLAND, WI 53029-9630
(262) 538-1630
(262) 538-1628
Mailing address
N68W28550 SUSSEX RD, SUITE 2, HARTLAND, WI 53029-9630
(262) 538-1630
(262) 538-1628

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4574
WI

Other

Enumeration date
12/21/2009
Last updated
12/21/2009
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