Organization
DITTY CHIROPRACTIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARC D. DITTY D.C. (OWNER/CHIROPRACTOR)
(920) 434-2615
Entity
Organization
Contact information
Practice address
2170 VELP AVE, SUITE 105, GREEN BAY, WI 54303-6596
(920) 434-2615
Mailing address
2170 VELP AVE, SUITE 105, GREEN BAY, WI 54303-6596
(920) 434-2615
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4204-012
WI
Other
Enumeration date
08/16/2010
Last updated
08/16/2010
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