Individual
JACK MELVIN MASCHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
5055 S 110TH ST, MILWAUKEE, WI 53228-3131
(414) 529-5370
(414) 529-5376
Mailing address
5055 S 110TH ST, MILWAUKEE, WI 53228-3131
(414) 529-5370
(414) 529-5376
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1764012
WI
Other
Enumeration date
11/01/2006
Last updated
07/08/2007
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