Organization
WAUKESHA CHIROPRACTIC & REHAB
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDREW WAYNE TREUTELAAR D.C. (BUISSNESS OWNER)
(262) 650-0701
Entity
Organization
Contact information
Practice address
628 W MORELAND BLVD, WAUKESHA, WI 53188-2433
(262) 650-0701
(262) 522-9858
Mailing address
628 W MORELAND BLVD, WAUKESHA, WI 53188-2433
(262) 650-0701
(262) 522-9858
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4001-012
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38954700
—
WI
01
—
393686017002
BCBS PROVIDER NUMBER
WI
Enumeration date
07/09/2006
Last updated
08/22/2020
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