Individual
DR. HUTAN GHOJALLU
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
10033 N PORT WASHINGTON RD, MEQUON, WI 53092-5799
(262) 240-0136
(262) 240-0139
Mailing address
10033 N PORT WASHINGTON RD, MEQUON, WI 53092-5799
(262) 240-0136
(262) 240-0139
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3228
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38893100
—
WI
Enumeration date
05/27/2006
Last updated
07/08/2007
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