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Breyan Radeck Dc, Llc
Chiropractor in Waukesha, Wisconsin
NPI 1043564610

Breyan Radeck Dc, Llc is a Chiropractor based in Waukesha, WI. Breyan Radeck Dc, Llc practices in Waukesha, WI. The NPI Number for Breyan Radeck Dc, Llc is 1043564610 and holds a License No. 4494012 (Wisconsin).

The current practice location address for Breyan Radeck Dc, Llc is 2717 N Grandview Blvd Ste 101, Waukesha, WI and can be reached out via phone at 262-349-9370 and via fax at 262-349-9729.

Location: 2717 N Grandview Blvd Ste 101, Waukesha, WI, 53188-1672
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1043564610
Provider Name
Breyan Radeck Dc, Llc
Credential
Provider Entity Type
Organization
Address
2717 N Grandview Blvd Ste 101, Waukesha, WI, 53188-1672
Phone Number
262-349-9370
Fax Number
262-349-9729
Provider Enumeration Date
11/05/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1043453426 05 WI
institution
Provider Business Practice Location Address Details
Address
2717 N Grandview Blvd Ste 101
City
Waukesha
State
Wisconsin
Zip
53188-1672
Phone Number
262-349-9370
Fax Number
262-349-9729
person
Provider Business Mailing Address Details
Address
2717 N Grandview Blvd Ste 101
City
Waukesha
State
Wisconsin
Zip
53188-1672
Phone Number
262-349-9370
Fax Number
262-349-9729
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
4494012 (Wisconsin)
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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