Individual
JACK M ALLOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
8320 W BLUEMOUND RD, SUITE 125A, WAUWATOSA, WI 53213-3367
(414) 302-3859
Mailing address
632 SWAN DR, WATERFORD, WI 53185-2882
(262) 514-4470
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3461
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38947000
—
WI
Enumeration date
12/27/2006
Last updated
11/18/2021
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