Organization
DERRICK FAMILY CHIROPRACTIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANA MARIE DERRICK D.C. (OWNER/CHIROPRACTOR)
(414) 328-1734
Entity
Organization
Contact information
Practice address
6508 W LINCOLN AVE, WEST ALLIS, WI 53219-2045
(262) 227-0700
Mailing address
6508 W LINCOLN AVE, WEST ALLIS, WI 53219-2045
(414) 328-1734
(414) 328-3166
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4546-12
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
WI2798
MEDICARE
WI
Enumeration date
07/12/2012
Last updated
05/07/2026
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