Organization
PERFORMANCE CHIROPRACTIC CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MADALYN PERRY (OWNER)
(262) 422-7457
Entity
Organization
Contact information
Practice address
11430 W BLUEMOUND RD, 109, WAUWATOSA, WI 53226-4050
(262) 422-7457
Mailing address
11430 W BLUEMOUND RD, 109, WAUWATOSA, WI 53226-4050
(262) 422-7457
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4641-12
WI
Other
Enumeration date
05/12/2015
Last updated
05/12/2015
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