Individual
CHELSIE HOGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC, LAT, MED
Contact information
Practice address
1630 COMMANCHE AVE, GREEN BAY, WI 54313-5753
(920) 430-4750
Mailing address
894 GROSSE RD, LITTLE SUAMICO, WI 54141-8966
(920) 621-8455
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1609-39
WI
Other
Enumeration date
09/09/2014
Last updated
09/09/2014
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