Individual provider · Type 1 NPI
Jack Melvin Masche, DC
Chiropractor · Milwaukee, WI
NPI number
1205913530
Active
Practice location
5055 S 110th St
Milwaukee, WI 53228-3131
Fax (414) 529-5376
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | 1764012 (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 1205913530
Jack Melvin Masche, DC's National Provider Identifier is 1205913530, issued on Nov 1, 2006. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Milwaukee, WI. The record was last updated on Jul 8, 2007.