Organization
OTTO CHIROPRACTIC CLINIC, S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANTHONY JAMES OTTO D.C. (OWNER/ PRESIDENT/DOCTOR)
(920) 965-7757
Entity
Organization
Contact information
Practice address
1039 W MASON ST, GREEN BAY, WI 54303-1842
(920) 965-7757
(920) 739-3999
Mailing address
1039 W MASON ST, GREEN BAY, WI 54303-1842
(920) 965-7757
(920) 739-3999
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
12-4315
WI
Other
Enumeration date
09/20/2007
Last updated
09/20/2007
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