Healthcare Provider Details

I. General information

NPI: 1578649885
Provider Name (Legal Business Name): CRISTINA JANETTE RAMIREZ D.C.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: CRISTINA RAMIREZ SWARTHOUT

II. Dates (important events)

Enumeration Date: 10/29/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9217 W CENTER ST
MILWAUKEE WI
53222-4516
US

IV. Provider business mailing address

903 E LINCOLN AVE
MILWAUKEE WI
53207-1711
US

V. Phone/Fax

Practice location:
  • Phone: 414-771-1968
  • Fax:
Mailing address:
  • Phone: 414-217-5040
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number4233-012
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: