Organization
MICHAEL CHIROPRACTIC CENTER SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK A MICHAEL CHIROPRACTOR (PRESIDENT MICHAEL CHIROPRACTIC CNTR)
(262) 785-1233
Entity
Organization
Contact information
Practice address
405 N CALHOUN RD, SUITE 105, BROOKFIELD, WI 53005
(262) 785-1233
(262) 785-1258
Mailing address
405 N CALHOUN RD, SUITE 105, BROOKFIELD, WI 53005
(262) 785-1233
(262) 785-1258
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1918012
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38838100
—
WI
01
—
402681
EMPL ID
WI
01
—
606473100
DEPT LABOR
WI
Enumeration date
12/12/2006
Last updated
08/31/2011
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