Individual
MICHAEL WILLIAM REDDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1428 E RACINE AVE, WAUKESHA, WI 53186-6462
(262) 542-8221
Mailing address
1428 E RACINE AVE, WAUKESHA, WI 53186-6462
(262) 542-8221
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1437-012
WI
Other
Enumeration date
03/16/2007
Last updated
07/08/2007
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