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NPI Code Detail

MEDICARE: MORGAN TAYLOR TRAMBURG DC

MEDICARE: MORGAN TAYLOR TRAMBURG 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
1111N00000XChiropractor6348-12WI

General Provider Information

NPI Number : 1205705878
Entity Type Code : Individual
Provider Name (Legal Business Name) : MORGAN TAYLOR TRAMBURG DC
Provider Business Mailing Address
First Line : 316 SOUTH ST
Second Line :
City : FALL RIVER
State : WI
Zip : 53932-9709
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 20900 SWENSON DR STE 575
Second Line :
City : WAUKESHA
State : WI
Zip : 53186-4040
Country : US
Telephone Number : 262-373-9168
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/03/2025
Last Update Date : 11/03/2025

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