CHAD ALAN CARTER

GREEN BAY, WI
NPI1639165079
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: WI  170039)
Enumeration Date2005-09-21
Last Update Date2008-07-07
Business Address
Mr. CHAD ALAN CARTER LAT ATC
1630 COMMANCHE AVE
GREEN BAY, WI 54313-5753
Phone number: 920-430-4786
Mailing Address
Mr. CHAD ALAN CARTER LAT ATC
1630 COMMANCHE AVE
GREEN BAY, WI 54313
Phone number: 920-430-4786