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Organization

LIMBACH FAMILY CHIROPRACTIC, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DEANA L SMITH (OFFICE MANAGER)
(262) 605-4770
Entity
Organization

Contact information

Practice address
3916 67TH ST, KENOSHA, WI 53142-3808
(262) 605-4770
(262) 605-4774
Mailing address
3916 67TH ST, KENOSHA, WI 53142-3808
(262) 605-4770
(262) 605-4774

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3720012
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1811013329
WI
Enumeration date
12/21/2007
Last updated
07/06/2018
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