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Organization

CEDAR PATH CHIROPRACTIC LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MINA BOTROS DC (CHIROPRACTOR)
(414) 334-4140
Entity
Organization

Contact information

Practice address
7280 S 13TH ST STE 101, OAK CREEK, WI 53154-1831
(414) 334-4140
Mailing address
7280 S 13TH ST STE 101, OAK CREEK, WI 53154-1831
(414) 334-4140

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary

Other

Enumeration date
11/11/2025
Last updated
01/30/2026
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