Individual
DR. MACKENZIE RAE WOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
10224 N PORT WASHINGTON RD, SUITE F, MEQUON, WI 53092-5754
(262) 989-4658
Mailing address
10224 N PORT WASHINGTON RD, SUITE F, MEQUON, WI 53092-5754
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5018-12
WI
Other
Enumeration date
05/27/2014
Last updated
05/27/2014
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