Organization
DYNAMIC CHIROPRACTIC, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MATTHEW S THOMAS D.C. (OWNER)
(920) 321-2832
Entity
Organization
Contact information
Practice address
858 HANSEN RD, GREEN BAY, WI 54304-5324
(920) 321-2832
(920) 321-2834
Mailing address
858 HANSEN RD, GREEN BAY, WI 54304-5324
(920) 321-2832
(920) 321-2834
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4337-012
WI
Other
Enumeration date
09/21/2012
Last updated
10/15/2012
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