Individual
DR. KATIE MARIE SAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
411 N GRAND AVE, WAUKESHA, WI 53186-4961
(262) 521-0028
Mailing address
411 N GRAND AVE, WAUKESHA, WI 53186-4961
(262) 521-0028
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4581-012
WI
Other
Enumeration date
02/18/2009
Last updated
04/15/2015
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