Individual
DR. RYAN MICHAEL TACHICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
2530 LINEVILLE RD STE 1, GREEN BAY, WI 54313-8861
(920) 857-3126
Mailing address
3446 JERSEY LN, SUAMICO, WI 54313-3624
(920) 660-6081
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5530-12
WI
Other
Enumeration date
03/25/2020
Last updated
10/30/2023
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