RUSSELL PARKER

GREEN BAY, WI
NPI1376799643
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: WI  5513-24)
Enumeration Date2008-08-18
Last Update Date2008-08-18
Business Address
Mr. RUSSELL PARKER PT
2305 SAN LUIS PL
GREEN BAY, WI 54304-5211
Phone number: 920-494-5231
Mailing Address
Mr. RUSSELL PARKER PT
2305 SAN LUIS PL
GREEN BAY, WI 54304-5211
Phone number: 920-494-5231
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