Life Clinic of Wi Sc

NPI #1295378875 in Brookfield, Wisconsin

Provider Information

NPI Number: 1295378875
Entity Type: Organization
Organization Name: Life Clinic of Wi Sc
Primary Specialty: Chiropractor
Enumeration Date: Oct 25, 2019
Last Updated: Jan 26, 2022

Practice Location

Address: 17585 GOLF PKWY
City: Brookfield
State: Wisconsin
ZIP Code: 53045-2948
Phone: (952) 229-7464

Authorized Official

Name: REZA ALIZADEH
Title: OWNER
Phone: (612) 868-6894

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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