Organization
GREAT LAKES CHIROPRACTIC, LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD J RANICKE JR. D.C. (PRESIDENT)
(262) 628-2528
Entity
Organization
Contact information
Practice address
6051 W BROWN DEER RD, BROWN DEER, WI 53223-2263
(414) 355-5301
(414) 355-5483
Mailing address
6051 W BROWN DEER RD, BROWN DEER, WI 53223-2263
(414) 355-5301
(414) 355-5483
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2513
WI
Other
Enumeration date
07/14/2005
Last updated
08/17/2018
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