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NPI Code Detail

MEDICARE: CHIROPRACTIC COMPANY - MILWAUKEE EAST LTD.

MEDICARE: CHIROPRACTIC COMPANY - MILWAUKEE EAST LTD.
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
1111N00000XChiropractor4056WI

General Provider Information

NPI Number : 1790080984
Entity Type Code : Organization
Provider Name (Legal Business Name) : CHIROPRACTIC COMPANY - MILWAUKEE EAST LTD.
Provider Business Mailing Address
First Line : 2332 N FARWELL AVE
Second Line :
City : MILWAUKEE
State : WI
Zip : 53211-4401
Country : US
Telephone Number : 414-223-4550
Fax Number : 414-354-0523
Provider Business Practice Location Address
First Line : 2332 N FARWELL AVE
Second Line :
City : MILWAUKEE
State : WI
Zip : 53211-4401
Country : US
Telephone Number : 414-223-4550
Fax Number : 414-354-0523
Authorized Official
Title or Position : CLINIC DIRECTOR
Name : DR. KENT L. MCLEOD
Credential : DC
Telephone Number : 414-223-4550
Provider Enumeration Date : 01/19/2011
Last Update Date : 08/25/2025

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Directions to “CHIROPRACTIC COMPANY - MILWAUKEE EAST LTD. ” Practice Location

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