Wisconsin Family and Sports Chiropractic, LLC

NPI #1326452293 in Mequon, Wisconsin

Provider Information

NPI Number: 1326452293
Entity Type: Organization
Organization Name: Wisconsin Family and Sports Chiropractic, LLC
Primary Specialty: Chiropractor
Enumeration Date: Jun 18, 2014
Last Updated: Dec 30, 2015

Practice Location

Address: 10224 N PORT WASHINGTON RD
Address 2: SUITE F
City: Mequon
State: Wisconsin
ZIP Code: 53092-5754
Phone: (262) 236-9489

Authorized Official

Name: DR. MACKENZIE WOOD, DC
Title: OWNER/DOCTOR
Phone: (262) 236-9489

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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