Organization
TIFERET FAMILY CHIROPRACTIC, S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEFAN MICHAEL HEROLD D.C. (PRESIDENT)
(262) 554-6869
Entity
Organization
Contact information
Practice address
5439 DURAND AVE STE 200, RACINE, WI 53406-5058
(262) 554-6869
(262) 554-6883
Mailing address
5439 DURAND AVE STE 200, RACINE, WI 53406-5058
(262) 554-6869
(262) 554-6883
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3954-012
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38999200
—
WI
Enumeration date
12/04/2006
Last updated
08/22/2020
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