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Individual

MATTHEW CHRISTIANSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
15010 W GREENFIELD AVE, 100, BROOKFIELD, WI 53005
(262) 754-5500
(262) 754-5501
Mailing address
1034 OXFORD RD, WAUKESHA, WI 53186-6446

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3889-012
WI

Other

Enumeration date
12/18/2006
Last updated
07/08/2007
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