Organization
GATEWAY CHIROPRACTIC AND REHABILITATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEVIN WEXLER D.C (OWNER)
(262) 691-7562
Entity
Organization
Contact information
Practice address
1166 QUAIL CT, SUITE 315, PEWAUKEE, WI 53072-3769
(262) 691-7562
(262) 691-7572
Mailing address
1166 QUAIL CT, SUITE 315, PEWAUKEE, WI 53072-3769
(262) 691-7562
(262) 691-7572
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
4403-012
WI
261QM2500X
Medical Specialty Clinic/Center
4403-012
WI
Other
Enumeration date
04/15/2010
Last updated
04/15/2010
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