Organization
ALIVE CHIROPRACTIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT W FUGIEL DC (OWNER/PROVIDER)
(262) 955-8867
Entity
Organization
Contact information
Practice address
12930 W BLUEMOUND RD, ELM GROVE, WI 53122-2606
(262) 955-8867
Mailing address
12930 W BLUEMOUND RD, ELM GROVE, WI 53122-2606
(262) 955-8867
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
5317-12
WI
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
03/21/2018
Last updated
03/06/2023
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