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Organization

GAVRIC CHIROPRACTIC CLINIC, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. GREGORY D. GAVRIC D.C. (OWNER)
(414) 762-8626
Entity
Organization

Contact information

Practice address
7003 S HOWELL AVE STE 1300, OAK CREEK, WI 53154
(414) 762-8626
(414) 762-8765
Mailing address
7003 S HOWELL AVE STE 1300, OAK CREEK, WI 53154-1402
(414) 762-8626
(414) 762-8765

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2141
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
38840600
WI
Enumeration date
12/11/2006
Last updated
10/19/2018
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