Individual
RICHARD CHARLES MAEDKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1410 E CAPITOL DR, SHOREWOOD, WI 53211-1901
(414) 906-8081
(414) 906-8093
Mailing address
4228 N WOODBURN ST, SHOREWOOD, WI 53211-1503
(414) 964-1685
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2789-012
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38866900
—
WI
Enumeration date
01/08/2007
Last updated
07/08/2007
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