Individual
GRANT ANDREW PACKARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
721 CARDINAL LN, GREEN BAY, WI 54313-3216
(920) 434-2221
(920) 434-2483
Mailing address
721 CARDINAL LN, GREEN BAY, WI 54313-3216
(920) 434-2221
(920) 434-2483
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4827-12
WI
Other
Enumeration date
12/27/2011
Last updated
12/27/2011
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