Individual
MOIRA MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
19575 JANACEK CT, STE 103, BROOKFIELD, WI 53045-7101
(262) 373-9168
Mailing address
19575 JANACEK CT STE 103, BROOKFIELD, WI 53045-7101
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5324-12
WI
Other
Enumeration date
01/09/2018
Last updated
04/09/2018
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