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Organization

CHIROPRACTIC NEUROLOGY CENTER OF GREEN BAY, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. SCOTT HAROLD WRUCK D.C. (OWNER)
(920) 339-9581
Entity
Organization

Contact information

Practice address
2625 DEVELOPMENT DR, SUITE 10, GREEN BAY, WI 54311-4250
(920) 339-9581
(920) 339-9340
Mailing address
2625 DEVELOPMENT DR, SUITE 10, GREEN BAY, WI 54311-4250
(920) 339-9581
(920) 339-9340

Taxonomy

Speciality
Code
Description
License number
State
111NN0400X
Neurology Chiropractor
Primary
3434
WI

Other

Enumeration date
12/26/2011
Last updated
12/26/2011
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