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Organization

CHUDY CHIROPRACTIC CLINIC LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BENJAMIN LOUIS CHUDY D.C. (MEMBER)
(262) 501-2069
Entity
Organization

Contact information

Practice address
2304 N GRANDVIEW BLVD, WAUKESHA, WI 53188-1602
(262) 542-6900
Mailing address
2304 N GRANDVIEW BLVD, WAUKESHA, WI 53188-1602
(262) 542-6900

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5223
WI

Other

Enumeration date
12/05/2016
Last updated
12/22/2016
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