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Individual

DR. LONI MARIE MCCLELLAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DC

Contact information

Practice address
21150 W CAPITOL DR STE 5, BROOKFIELD, WI 53072-2909
(414) 482-5282
Mailing address
21150 W CAPITOL DR STE 5, BROOKFIELD, WI 53072-2909
(414) 482-5282

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
3125
TN
111N00000X
Chiropractor
Primary
6015-12
WI

Other

Enumeration date
06/18/2018
Last updated
09/20/2022
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