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Dr. Hutan Ghojallu, DC
Chiropractor in Mequon, Wisconsin
NPI 1841247715

Hutan Ghojallu is a Chiropractor based in Mequon, WI. Hutan Ghojallu practices in Mequon, WI and has the professional credentials of DC. The NPI Number for Hutan Ghojallu is 1841247715 and holds a License No. 3228 (Wisconsin).

The current practice location address for Hutan Ghojallu is 10033 N Port Washington Rd, Mequon, WI and can be reached out via phone at 262-240-0136 and via fax at 262-240-0139.

Location: 10033 N Port Washington Rd, Mequon, WI, 53092-5799
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1841247715
Provider Name
Hutan Ghojallu
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
10033 N Port Washington Rd, Mequon, WI, 53092-5799
Phone Number
262-240-0136
Fax Number
262-240-0139
Provider Enumeration Date
05/27/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
38893100 05 WI
institution
Provider Business Practice Location Address Details
Address
10033 N Port Washington Rd
City
Mequon
State
Wisconsin
Zip
53092-5799
Phone Number
262-240-0136
Fax Number
262-240-0139
person
Provider Business Mailing Address Details
Address
10033 N Port Washington Rd
City
Mequon
State
Wisconsin
Zip
53092-5799
Phone Number
262-240-0136
Fax Number
262-240-0139
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
3228 (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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