Organization
MJ CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA MARX (PTA)
(920) 321-4467
Entity
Organization
Contact information
Practice address
711 WINFORD AVE, GREEN BAY, WI 54303-4023
(920) 321-4467
Mailing address
711 WINFORD AVE, GREEN BAY, WI 54303-4023
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
1736-019
WI
Other
Enumeration date
06/29/2011
Last updated
06/29/2011
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