Organization
PROCARE CHIROPRACTIC CLINIC LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAY RODDAN DC (PRESIDENT)
(920) 496-6000
Entity
Organization
Contact information
Practice address
940 HANSEN RD, STE F, GREEN BAY, WI 54304-5377
(920) 496-6000
(920) 496-0998
Mailing address
940 HANSEN RD, STE F, GREEN BAY, WI 54304-5377
(920) 496-6000
(920) 496-0998
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1451
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3980300
—
WI
Enumeration date
05/24/2007
Last updated
03/05/2012
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