Healthsource of Green Bay LLC

NPI #1528372604 in Greenbay, Wisconsin

Provider Information

NPI Number: 1528372604
Entity Type: Organization
Organization Name: Healthsource of Green Bay LLC
Primary Specialty: Chiropractor
Enumeration Date: Aug 2, 2010
Last Updated: Aug 2, 2010

Practice Location

Address: 1743 EAST MASON ST
City: Greenbay
State: Wisconsin
ZIP Code: 54302-3251
Phone: (920) 486-4755

Authorized Official

Name: DR. MARGARET MERTENS, DC
Title: PRESIDENT
Phone: (715) 384-9064

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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