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Individual

MAGGIE MAY KASTEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DC

Contact information

Practice address
114 E GREENFIELD AVE, MILWAUKEE, WI 53204-2966
(414) 220-0106
Mailing address
430 E ESTATES PL, OAK CREEK, WI 53154-5122
(414) 430-7005

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
038011941
IL
111N00000X
Chiropractor
Primary
5382-12
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
038011941
PROVIDER LICENSE #
IL
01
5382-12
PROVIDER LICENSE #
WI
Enumeration date
08/13/2012
Last updated
10/19/2021
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