Individual
BRIAN KURTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
6310 N PORT WASHINGTON RD, GLENDALE, WI 53217-4300
(414) 962-1144
(414) 962-3391
Mailing address
6310 N PORT WASHINGTON RD, GLENDALE, WI 53217-4300
(414) 962-1144
(414) 962-3391
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3128
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38955200
—
WI
Enumeration date
10/02/2006
Last updated
07/08/2007
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