Individual
DR. BENJAMIN LOUIS CHUDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
2304 N GRANDVIEW BLVD, WAUKESHA, WI 53188-1602
(262) 542-6900
Mailing address
2304 N GRANDVIEW BLVD, WAUKESHA, WI 53188-1602
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5223
WI
Other
Enumeration date
11/11/2016
Last updated
11/11/2016
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