MRS. Jennifer L Vollrath-Grosam, BS, DC, FICPA

NPI #1164502241 in Green Bay, Wisconsin

Provider Information

NPI Number
1164502241
Entity Type
Individual
Name
MRS. Jennifer L Vollrath-Grosam, BS, DC, FICPA
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Chiropractor
Credential
BS, DC, FICPA
Enumeration Date
Oct 16, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
721 CARDINAL LN
Address 2
STE 100
ZIP Code
54313-3216
Phone
(920) 434-2221

Specialties & Taxonomy Codes

Specialty
Chiropractor

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