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Organization

LIFETIME CHIROPRACTIC CENTER LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. MICHAEL JANUSZ (MEMBER)
(414) 643-6000
Entity
Organization

Contact information

Practice address
2727 W CLEVELAND AVE STE 100, MILWAUKEE, WI 53215-2956
(262) 389-8622
(414) 643-6400
Mailing address
PO BOX 666, BROOKFIELD, WI 53008-0666
(414) 643-6000

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
WI

Other

Enumeration date
01/06/2012
Last updated
05/05/2018
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