Individual
WILSON N MBURU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
3843 DOUGLAS AVE, RACINE, WI 53402-3228
(262) 664-1241
Mailing address
3843 DOUGLAS AVE, RACINE, WI 53402-3228
(262) 664-1241
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2314-012
WI
Other
Enumeration date
04/13/2007
Last updated
11/18/2014
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