Organization
KOCH CHIROPRACTIC LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DENNIS A KOCH DC (OWNER)
(262) 784-8232
Entity
Organization
Contact information
Practice address
1055 LEGION DR, ELM GROVE, WI 53122-2202
(262) 784-8232
Mailing address
1055 LEGION DR, ELM GROVE, WI 53122-2202
(262) 784-8232
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
111N00000X
WI
Other
Enumeration date
09/18/2007
Last updated
10/03/2007
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