Individual provider · Type 1 NPI
Richard Charles Maedke, DC
Chiropractor · Shorewood, WI
NPI number
1124176268
Active
Practice location
1410 E Capitol Dr
Shorewood, WI 53211-1901
Fax (414) 906-8093
Mailing address
4228 N Woodburn St
Shorewood, WI 53211-1503
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | 2789-012 (WI) |
Chiropractor: 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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About NPI 1124176268
Richard Charles Maedke, DC's National Provider Identifier is 1124176268, issued on Jan 8, 2007. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Shorewood, WI. The record was last updated on Jul 8, 2007.