Individual
DR. RICHARD LEE HORAITIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
1216 N 8TH AVE, WEST BEND, WI 53090-1804
(414) 333-8458
Mailing address
1216 N 8TH AVE, WEST BEND, WI 53090-1804
(414) 333-8458
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2931
WI
Other
Enumeration date
12/01/2006
Last updated
07/08/2007
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