Organization
MEQUON CHIROPRACTIC OFFICE SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBRA BENNING (OFFICE MANAGER)
(262) 241-3434
Entity
Organization
Contact information
Practice address
10521 N PORT WASHINGTON RD, MEQUON, WI 53092-5584
(262) 241-3434
(262) 241-3903
Mailing address
10521 N PORT WASHINGTON RD, MEQUON, WI 53092-5584
(262) 241-3434
(262) 241-3903
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
11/15/2012
Last updated
11/15/2012
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