Imagine Chiropractic and Wellness Center, Inc.

NPI #1306102066 in Green Bay, Wisconsin

Provider Information

NPI Number
1306102066
Entity Type
Organization
Organization Name
Imagine Chiropractic and Wellness Center, Inc.
Primary Specialty
Chiropractor
Enumeration Date
Apr 6, 2012
Last Updated
Apr 6, 2012

Practice Location

Address
445 CARDINAL LN STE 110
ZIP Code
54313-9577
Phone
(920) 327-3752

Authorized Official

Name
DR. ANGELA RENEE THIELE, D.C.
Title
OWNER/CHIROPRACTOR
Phone
(920) 327-3752

Specialties & Taxonomy Codes

Specialty
Chiropractor - Sports PhysicianSports Physician
Chiropractor

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