Organization
OSBORNE FAMILY CHIROPRACTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JODI MARIE OSBORNE D.C. (PRESIDENT)
41454610190
Entity
Organization
Contact information
Practice address
3921 S 76TH ST, MILWAUKEE, WI 53220-2320
(414) 546-1090
(414) 546-1065
Mailing address
3921 S 76TH ST, MILWAUKEE, WI 53220-2320
(414) 546-1090
(414) 546-1065
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4190-012
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38966000
—
WI
Enumeration date
02/20/2008
Last updated
03/31/2008
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