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NPI Code Detail

MEDICARE: MAGGIE MAY KASTEN DC

MEDICARE:   MAGGIE MAY KASTEN  DC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111N00000XChiropractor5382-12WI
2111N00000XChiropractor038011941IL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
15382-12OTHERWIPROVIDER LICENSE #
2038011941OTHERILPROVIDER LICENSE #

General Provider Information

NPI Number : 1144577875
Entity Type Code : Individual
Provider Name (Legal Business Name) : MAGGIE MAY KASTEN DC
Provider Business Mailing Address
First Line : 430 E ESTATES PL
Second Line :
City : OAK CREEK
State : WI
Zip : 53154-5122
Country : US
Telephone Number : 414-430-7005
Fax Number :
Provider Business Practice Location Address
First Line : 114 E GREENFIELD AVE
Second Line :
City : MILWAUKEE
State : WI
Zip : 53204-2966
Country : US
Telephone Number : 414-220-0106
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/13/2012
Last Update Date : 10/19/2021

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Directions to “ MAGGIE MAY KASTEN DC” Practice Location

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