Organization
DR LOOFBORO SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WAYLAND J LOOFBORO DC (PRESIDENT)
(414) 461-1055
Entity
Organization
Contact information
Practice address
11038 W CAPITAL DRIVE, WAUWATOSA, WI 53222
(414) 461-1055
(414) 461-1337
Mailing address
11038 W CAPITAL DRIVE, WAUWATOSA, WI 53222
(414) 461-1055
(414) 461-1337
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1327
WI
Other
Enumeration date
01/25/2007
Last updated
08/22/2020
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