Organization
OZAUKEE CHIROPRACTIC CLINIC, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES R. SHELSTAD D.C. (PRESIDENT)
(262) 242-5577
Entity
Organization
Contact information
Practice address
122 GREEN BAY RD, THIENSVILLE, WI 53092-1624
(262) 242-5577
Mailing address
122 GREEN BAY RD, P.O. BOX 574, THIENSVILLE, WI 53092-1624
(262) 242-5577
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1806-12
WI
Other
Enumeration date
05/21/2007
Last updated
08/22/2020
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