Individual
CRAIG LOGAN JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DR OF CHIROPRACTIC
Contact information
Practice address
10817 W LINCOLN AVE, WEST ALLIS, WI 53227-1127
(414) 327-6767
(414) 327-0988
Mailing address
10817 W LINCOLN AVE, WEST ALLIS, WI 53227-1127
(414) 327-6767
(414) 327-0988
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1341012
WI
Other
Enumeration date
11/07/2006
Last updated
01/27/2011
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