Healthcare Provider Details

I. General information

NPI: 1740482843
Provider Name (Legal Business Name): KRISTINA C TOEBES D.C.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/01/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

N88W16624 APPLETON AVE
MENOMONEE FALLS WI
53051-2858
US

IV. Provider business mailing address

4285 FOND DU LAC DR
SLINGER WI
53086-9762
US

V. Phone/Fax

Practice location:
  • Phone: 262-253-4949
  • Fax:
Mailing address:
  • Phone: 262-224-5999
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number3270
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: