Individual
JANICE JURACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
S69 W15689 JANESVILLE RD, MUSKEGO, WI 53150-7947
(414) 422-1203
(414) 425-1225
Mailing address
S69 W15689 JANESVILLE RD, MUSKEGO, WI 53150-7947
(414) 422-1203
(414) 425-1225
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3485 012
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
391917079
COMMERCIAL
WI
01
—
391917079017
BLUE CROSS
WI
Enumeration date
12/19/2006
Last updated
05/31/2012
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