Individual
MAXWELL DECHANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1333 COLLEGE AVE STE B, SOUTH MILWAUKEE, WI 53172-1150
(414) 571-9146
(414) 571-9147
Mailing address
625 ENTERPRISE DR, OAK BROOK, IL 60523-8813
(630) 575-1980
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
13578 - 24
WI
Other
Enumeration date
08/01/2016
Last updated
03/17/2018
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