Organization
MILWAUKEE SPINE AND JOINT CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KELLY WORTH D.C. (CHIROPRACTOR-CLINIC DIRECTOR)
(414) 643-9000
Entity
Organization
Contact information
Practice address
1631 W LINCOLN AVE, MILWAUKEE, WI 53215-2637
(414) 643-9000
(414) 643-9004
Mailing address
1631 W LINCOLN AVE, MILWAUKEE, WI 53215-2637
(414) 643-9000
(414) 643-9004
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
4264-012
WI
Other
Enumeration date
12/06/2012
Last updated
12/06/2012
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