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Organization
SPINE SOLUTIONS OF GREEN BAY LLC
Active
Organization
SPINE SOLUTIONS OF GREEN BAY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEREMY SCARLETT MD (OWNER)
(414) 455-1153
Entity
Organization
Contact information
Practice address
2595 DEVELOPMENT DR STE 150, BELLEVUE, WI 54311-4288
(414) 455-1153
(833) 523-9918
Mailing address
2124 KOHLER MEMORIAL DR, SHEBOYGAN, WI 53081-3169
(414) 455-1153
(833) 523-9918
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
NULL
Other
Enumeration date
10/29/2020
Last updated
10/29/2020
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