Organization
OLM CHIROPRACTIC CLINIC SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LARRY KENNETH OLM DC (PRESIDENT)
(414) 771-4767
Entity
Organization
Contact information
Practice address
7229 W CENTER STREET, WAUWATOSA, WI 53210-1126
(414) 771-4767
(414) 771-4767
Mailing address
7229 W CENTER STREET, WAUWATOSA, WI 53210-1126
(414) 771-4767
(414) 771-4767
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
04/03/2007
Last updated
08/22/2020
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