Individual
DR. JOHN C MURPHY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
3535 30TH AVE STE 201, KENOSHA, WI 53144-1632
(262) 697-7463
Mailing address
3535 30TH AVE STE 201, KENOSHA, WI 53144-1632
(262) 697-7463
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3307-012
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38889900
—
WI
01
—
P00406186
MEDICARE RR
WI
Enumeration date
07/08/2005
Last updated
11/19/2020
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