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Organization
SCHNEIDER CHIROPRATIC OFFICE SC
Active
Organization
SCHNEIDER CHIROPRATIC OFFICE SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JILL S WILSON (OFFICE MANAGER)
(920) 465-9020
Entity
Organization
Contact information
Practice address
2696 NOEL DR, GREEN BAY, WI 54311-6729
(920) 465-9020
(920) 465-9020
Mailing address
2696 NOEL DR, GREEN BAY, WI 54311-6729
(920) 465-9020
(920) 465-9020
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2662
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
350052795
RAILROAD MEDICARE
WI
05
—
3885160
—
WI
Enumeration date
11/02/2010
Last updated
11/02/2010
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