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GREEN BAY, WI
NPI1326123084
Entity TypeOrganization
Authorized ContactJOSEPH JOHN MILLAN
President
920-465-1431
Organization Subpart ?No
Primary Taxonomy111N00000X Chiropractor
Enumeration Date2006-10-25
Last Update Date2020-08-22
Business Address
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1792 E MASON ST
GREEN BAY, WI 54302-3251
Phone number: 920-465-1431
Mailing Address
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PO BOX 8844
GREEN BAY, WI 54308-8844
Phone number: 920-465-1431