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Timothy Oneal Broaddrick, DC
Chiropractor in Brookfield, Wisconsin
NPI 1417038316

Timothy Oneal Broaddrick is a Chiropractor based in Milwaukee, WI. Timothy Oneal Broaddrick practices in Brookfield, WI and has the professional credentials of DC. The NPI Number for Timothy Oneal Broaddrick is 1417038316 and holds a License No. 2429-012 (Wisconsin).

The current practice location address for Timothy Oneal Broaddrick is 16985 W Bluemound Rd, Brookfield, WI and can be reached out via phone at 262-641-8400.

Location: 16985 W Bluemound Rd, Brookfield, WI, 53209-2042
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1417038316
Provider Name
Timothy Oneal Broaddrick
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
16985 W Bluemound Rd, Brookfield, WI, 53209-2042
Phone Number
262-641-8400
Fax Number
Provider Enumeration Date
10/18/2006
Last Update Date
06/15/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
38951100 05 WI
institution
Provider Business Practice Location Address Details
Address
16985 W Bluemound Rd
City
Brookfield
State
Wisconsin
Zip
53005-5909
Phone Number
262-641-8400
Fax Number
person
Provider Business Mailing Address Details
Address
16985 W Bluemound Rd
City
Brookfield
State
Wisconsin
Zip
53005-5909
Phone Number
262-641-8400
Fax Number
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
2429-012 (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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