Organization
HWPT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHANE M HUBER DC (PRESIDENT)
(262) 695-6744
Entity
Organization
Contact information
Practice address
19035 W CAPITOL DR, SUITE 100, BROOKFIELD, WI 53045-2755
(262) 695-6744
(262) 695-6466
Mailing address
19035 W CAPITOL DR, SUITE 100, BROOKFIELD, WI 53045-2755
(262) 695-6744
(262) 695-6466
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
—
261QP2000X
Physical Therapy Clinic/Center
—
—
Other
Enumeration date
04/19/2011
Last updated
01/14/2015
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