Individual
RUSSELL MARK SHERBONDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
1370 S 74TH ST, STE 101, WEST ALLIS, WI 53214-3059
(414) 769-7900
(414) 769-7953
Mailing address
W220S2041 SPRINGDALE ROAD, WAUKESHA, WI 53186
(414) 769-7900
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2391012
WI
Other
Enumeration date
02/23/2007
Last updated
10/20/2016
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