Organization
BOSHOFF CHIROPRACTIC CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LYNETTE BOSHOFF D.C. (OWNER)
(414) 617-0909
Entity
Organization
Contact information
Practice address
8812 W NORTH AVE, WAUWATOSA, WI 53226-2726
(414) 774-2300
(414) 774-0341
Mailing address
906 REVERE DR, OCONOMOWOC, WI 53066-4421
(414) 617-0909
(414) 774-0341
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3869-012
WI
Other
Enumeration date
06/22/2006
Last updated
08/22/2020
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