JACK ALAN MICHAEL

WAUWATOSA, WI
NPI1386163731
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: WI  13960)
Enumeration Date2017-09-18
Last Update Date2017-09-18
Business Address
JACK ALAN MICHAEL DPT
2626 N 76TH ST STE 105
WAUWATOSA, WI 53213-1137
Phone number: 414-774-7794
Mailing Address
JACK ALAN MICHAEL DPT
2626 N 76TH ST STE 105
WAUWATOSA, WI 53213-1137
Phone number: 414-774-7794
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