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Organization

CAPITOL CHIROPRACTIC, SC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JODI S RAY DC (OWNER)
(414) 536-9022
Entity
Organization

Contact information

Practice address
6125 W CAPITOL DR, MILWAUKEE, WI 53216-2119
(414) 536-9022
(414) 536-6688
Mailing address
6400 INDUSTRIAL LOOP, GREENDALE, WI 53129-2452
(414) 423-4100
(414) 423-4134

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary

Other

Enumeration date
08/14/2014
Last updated
08/14/2014
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