NPI 1124176268

Richard Charles Maedke, DC

Practitioner Chiropractor Shorewood, WI

Practice location

Address: 1410 E Capitol Dr, Shorewood, WI 53211-1901
Phone: (414) 906-8081
Fax: (414) 906-8093
Mailing address: 4228 N Woodburn St, Shorewood, WI 53211-1503

Registered specialties

Chiropractor Primary

Chiropractic Providers Taxonomy 111N00000X Licence 2789-012 (WI)

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Registry record

NPI: 1124176268
Entity type: Individual
Sex (as registered): Male
NPI issued: 8 Jan 2007
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.