Individual
KELLY BUETOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14999 W BELOIT RD STE A, NEW BERLIN, WI 53151-7438
(414) 525-1030
Mailing address
14999 W BELOIT RD STE A, NEW BERLIN, WI 53151-7438
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3657-12
WI
Other
Enumeration date
02/18/2016
Last updated
02/18/2016
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