Organization
ASCENT CHIROPRACTIC LLC
Active
Other names
Ascent Sports & Wellness Chiropractic Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
GRANT KEITH RADERMACHER DC (OWNER)
(262) 345-4166
Entity
Organization
Contact information
Practice address
16620 W BLUEMOUND RD # 405, BROOKFIELD, WI 53005-5966
(262) 345-4166
(262) 753-6908
Mailing address
16620 W BLUEMOUND RD # 405, BROOKFIELD, WI 53005-5966
(262) 345-4166
(262) 753-6908
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4707-12
WI
Other
Enumeration date
12/29/2017
Last updated
12/29/2017
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