Organization
MCROBERTS CHIROPRACTIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIM EDWARD MCROBERTS D.C. (OWNER)
(608) 848-0058
Entity
Organization
Contact information
Practice address
951 KIMBALL LANE, SUITE 122, VERONA, WI 53593
(608) 848-0058
(608) 848-0059
Mailing address
951 KIMBALL LANE, SUITE 122, VERONA, WI 53593
(608) 848-0058
(608) 848-0059
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3755-012
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1437116993
NPI INDIVIDUAL
WI
05
—
38934100
—
WI
Enumeration date
03/26/2007
Last updated
03/02/2010
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