Individual
LOUIS J CHUDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
2304 N GRANDVIEW BLVD, WAUKESHA, WI 53188-1602
(262) 542-6900
(262) 522-3981
Mailing address
2304 N GRANDVIEW BLVD, WAUKESHA, WI 53188-1602
(262) 542-6900
(262) 522-3981
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
2276
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38833500
—
WI
01
—
391599318
FEDERAL TAX ID #
WI
Enumeration date
09/06/2006
Last updated
07/08/2007
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