Organization
KENNETH C. STURGIS DC SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH C. STURGIS (OWNER)
(920) 465-6040
Entity
Organization
Contact information
Practice address
2420 FINGER RD, GREEN BAY, WI 54302-4210
(920) 465-6040
(920) 465-4464
Mailing address
2420 FINGER RD, GREEN BAY, WI 54302-4210
(920) 465-6040
(920) 465-4464
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1759
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38774600
—
WI
Enumeration date
03/13/2007
Last updated
08/29/2007
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