Organization
MSK HEALTHCARE LLC
Active
Other names
Modern Physical Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
MAGGIE MAY KASTEN D.C. (OWNER)
(414) 430-7005
Entity
Organization
Contact information
Practice address
114 E GREENFIELD AVE, MILWAUKEE, WI 53204-2966
(414) 220-0106
Mailing address
430 E ESTATES PL, OAK CREEK, WI 53154-5122
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5382-12
PROVIDER LICENSE #
WI
Enumeration date
10/05/2021
Last updated
02/01/2022
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