Organization
WAUKESHA WELLNESS WAY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICK FLYNN (OWNER)
(920) 660-7877
Entity
Organization
Contact information
Practice address
2444 N GRANDVIEW BLVD # B, WAUKESHA, WI 53188-1695
(262) 650-0701
Mailing address
2444 N GRANDVIEW BLVD # B, WAUKESHA, WI 53188-1695
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
WI
Other
Enumeration date
03/24/2016
Last updated
03/24/2016
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