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General NPI Number Information
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NPI Number | 1174670251
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Entity Type | Organization
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Legal Business Name | MICHAEL R TRAUB D.C. LTD
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Dates
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Enumeration Date | 01/04/2007
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Last Update Date | 07/18/2025
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Provider Practice Location Address
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Address Line | N58W39799 HWY 16
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City | OCONOMOWOC
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State | WI
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Zip | 53066-2194
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Country | US
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Telephone | 262-567-4497
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Fax | 262-567-3716
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Provider Business Mailing Address
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Address Line | N58W39799 HWY 16
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City | OCONOMOWOC
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State | WI
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Zip | 53066-2194
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Country | US
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Telephone | 262-567-4497
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Fax | 262-567-3716
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | RENEE SCHUNK
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Credential |
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Telephone | 262-567-4497
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 1385
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License Number State | WI
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