Individual
DR. COREY JAMES SCHNEIDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
5261 N PORT WASHINGTON RD, SUITE 101, GLENDALE, WI 53217-4903
(414) 332-6001
(414) 332-3712
Mailing address
5261 N PORT WASHINGTON RD, GLENDALE, WI 53217-4903
(414) 332-6001
(414) 332-3712
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
3825-012
WI
111NS0005X
Sports Physician Chiropractor
3825-012
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
201717946
TAX ID
WI
Enumeration date
11/02/2006
Last updated
09/02/2011
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