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Organization
CHIROHEALTH CARE CENTER LLC
Active
Organization
CHIROHEALTH CARE CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD BARANCZYK D.C. (OWNER)
(920) 496-1556
Entity
Organization
Contact information
Practice address
2201 S ONEIDA ST, SUITE #2, GREEN BAY, WI 54304-4745
(920) 496-1556
(920) 496-9860
Mailing address
2668 FOREST HAVEN CT, SUAMICO, WI 54313-7968
(920) 496-1556
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2754
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38864600
—
WI
Enumeration date
03/18/2017
Last updated
03/18/2017
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