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Mark Koch Dc Llc
Clinic/Center in Elm Grove, Wisconsin
NPI 1134883861

Mark Koch Dc Llc is a Clinic/Center based in Elm Grove, WI. Mark Koch Dc Llc practices in Elm Grove, WI. The NPI Number for Mark Koch Dc Llc is 1134883861 and holds a License No. (Wisconsin).

The current practice location address for Mark Koch Dc Llc is 1055 Legion Dr, Elm Grove, WI and can be reached out via phone at 262-784-8232 and via fax at 262-784-4139.

Location: 1055 Legion Dr, Elm Grove, WI, 53122-2202
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1134883861
Provider Name
Mark Koch Dc Llc
Credential
Provider Entity Type
Organization
Address
1055 Legion Dr, Elm Grove, WI, 53122-2202
Phone Number
262-784-8232
Fax Number
262-784-4139
Provider Enumeration Date
10/28/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1055 Legion Dr
City
Elm Grove
State
Wisconsin
Zip
53122-2202
Phone Number
262-784-8232
Fax Number
262-784-4139
person
Provider Business Mailing Address Details
Address
1055 Legion Dr
City
Elm Grove
State
Wisconsin
Zip
53122-2202
Phone Number
262-784-8232
Fax Number
262-784-4139
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
()
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.
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
()
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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