Otto Chiropractic Clinic, S.c.

NPI #1013103225 in Green Bay, Wisconsin

Provider Information

NPI Number: 1013103225
Entity Type: Organization
Organization Name: Otto Chiropractic Clinic, S.c.
Primary Specialty: Chiropractor
Enumeration Date: Sep 20, 2007
Last Updated: Sep 20, 2007

Practice Location

Address: 1039 W MASON ST
City: Green Bay
State: Wisconsin
ZIP Code: 54303-1842
Phone: (920) 965-7757

Authorized Official

Name: DR. ANTHONY JAMES OTTO, D.C.
Title: OWNER/ PRESIDENT/DOCTOR
Phone: (920) 965-7757

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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