Organization
MED ALLIANCE S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH A HOWARD D.C. (EXECUTIVE DIRECTOR)
(414) 961-7100
Entity
Organization
Contact information
Practice address
309 W. SILVER SPRING DR., GLENDALE, WI 53217
(414) 961-7100
(414) 961-7772
Mailing address
309 W. SILVER SPRING DR., GLENDALE, WI 53217
(414) 961-7100
(414) 961-7772
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
208D00000X
General Practice Physician
—
—
225X00000X
Occupational Therapist
—
—
Other
Enumeration date
10/04/2006
Last updated
06/14/2018
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