Organization
CHIROPRACTIC FIRST OF DELAFIELD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BEAU BANTON DC (DOCTOR OF CHIROPRACTIC)
(262) 303-4865
Entity
Organization
Contact information
Practice address
2728 HILLSIDE DR, DELAFIELD, WI 53018-2164
(262) 303-4865
Mailing address
2728 HILLSIDE DR, DELAFIELD, WI 53018-2164
(262) 303-4865
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4741-12
WI
Other
Enumeration date
02/28/2015
Last updated
02/28/2015
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