Organization
CHIRO HEALTH CLINIC SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JER LEE D.C. (OWNER SHAREHOLDER)
(920) 435-7575
Entity
Organization
Contact information
Practice address
122 S WASHINGTON ST, GREEN BAY, WI 54301-4211
(920) 435-7575
(920) 435-7574
Mailing address
122 S WASHINGTON ST, GREEN BAY, WI 54301-4211
(920) 435-7575
(920) 435-7574
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4252
WI
Other
Enumeration date
05/21/2007
Last updated
08/22/2020
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