Individual
DR. ROY W MUTSCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
4680 W BRADLEY RD, BROWN DEER, WI 53223-3764
(414) 355-7690
(414) 355-7672
Mailing address
W71N918 HARRISON CT, CEDARBURG, WI 53012-3234
(262) 375-4776
Taxonomy
Speciality
Code
Description
License number
State
111NX0800X
Orthopedic Chiropractor
Primary
1651
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38908100
—
WI
Enumeration date
01/11/2007
Last updated
07/08/2007
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