Organization
DAVIDSON FAMILY CHIROPRACTIC LLC
Active
Other names
Davidson Family Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JASON W DAVIDSON D.C. (CO-OWNER)
(262) 754-6850
Entity
Organization
Contact information
Practice address
21075 SWENSON DR, WAUKESHA, WI 53186-2000
(262) 754-6850
Mailing address
21075 SWENSON DR, WAUKESHA, WI 53186-2000
(262) 754-6850
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4466-012
WI
Other
Enumeration date
06/21/2010
Last updated
06/21/2010
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