One Source Wellness and Chiropractic LLC

NPI #1710341847 in Brookfield, Wisconsin

Provider Information

NPI Number
1710341847
Entity Type
Organization
Organization Name
One Source Wellness and Chiropractic LLC
Primary Specialty
Chiropractor
Enumeration Date
Apr 5, 2016
Last Updated
Mar 11, 2020

Practice Location

Address
13730 W GREENFIELD AVE
ZIP Code
53005-7115
Phone
(262) 751-7505

Authorized Official

Name
MR. PAUL EDWARD RALSTON, DC
Title
DC
Phone
(262) 751-7505

Specialties & Taxonomy Codes

Specialty
Chiropractor

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