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NPI 1215064597

IndividualActive

Glenn Wysocki, DC

NPI 1215064597 · Orthopedic Chiropractor · Kenosha, WI

Provider details

NPI number: 1215064597
Entity type: Individual
Primary specialty: Orthopedic ChiropractorChiropractic Providers
Credential: DC
Sex: Male
Sole proprietor: Yes
License: 1512 (WI)

Practice location

7537 22nd Avenue

Kenosha, WI 53143-5701

Phone: (262) 652-3100

Fax: (262) 652-3100

More WI providers

Mailing address

7537 22nd Avenue

Kenosha, WI 53143-5701

Registry dates

Enumerated: 2007-02-27
Last updated: 2011-12-09

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Glenn Wysocki, DC — NPI 1215064597, Kenosha, WI | NPI Central