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Organization

CHIROPRACTIC COMPANY S.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MARK CHRISTOPHER NEMETZ D.C. (CLINIC DIRECTOR)
(262) 782-2273
Entity
Organization

Contact information

Practice address
17550 W BLUEMOUND RD, SUITE 210, BROOKFIELD, WI 53045-2928
(262) 782-2273
(262) 782-6946
Mailing address
17550 W BLUEMOUND RD, SUITE 210, BROOKFIELD, WI 53045-2928
(262) 782-2273
(262) 782-6946

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3397-012
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
38950000
WI
Enumeration date
07/22/2006
Last updated
01/21/2010
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