MEDICARE: DR. CRISTINA JANETTE RAMIREZ D.C.

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
1	111N00000X	Chiropractor	4233-012	WI

General Provider Information

NPI Number	:	1578649885
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CRISTINA JANETTE RAMIREZ D.C.

Provider Business Mailing Address
First Line	:	903 E LINCOLN AVE
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53207-1711
Country	:	US
Telephone Number	:	414-217-5040
Fax Number	:

Provider Business Practice Location Address
First Line	:	9217 W CENTER ST
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53222-4516
Country	:	US
Telephone Number	:	414-771-1968
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/29/2006
Last Update Date	:	07/08/2007

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