Individual
DR. RAY RODDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1075 BROOKWOOD DR, GREEN BAY, WI 54304-4135
(920) 496-6000
(920) 496-0998
Mailing address
1075 BROOKWOOD DR, GREEN BAY, WI 54304-4135
(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
—
38755600
—
WI
Enumeration date
10/25/2006
Last updated
07/08/2007
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